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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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LIDDELL, RYAN ELIZABETH
Practice Address: ASCENSION MEDICAL GROUP ST. JOHN PRIMARY CARE
13600 E. 86TH ST. N SUITE 100
OWASSO OK 74055

Address last updated on 4/15/2024
Phone #: (918) 272-9313
Fax #:
County: TULSA
License: 5242
Dated: 2/22/2024
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
ASCENSION MEDICAL GROUP ST. JOHN PRIMARY CARE
13600 E. 86TH ST. N SUITE 100
OWASSO OK 74055

Phone #: (918) 272-9313
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RAPHA A. S. WILEY MD 28492

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