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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT
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|
JOHNSON, MICHELE LYNN |
| Practice Address: |
CONCENTRA UC/TULSA IC BUS
2322 N MINGO RD
TULSA OK 74116
Address last updated on 3/7/2024 |
| Phone #: |
(918) 833-4090 |
| Fax #: |
|
| County: |
TULSA |
| License: |
788 |
| Dated: |
11/21/1996 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
11/5/1996 |
|
Temp.
Ltr.
Expires:
|
11/5/1997 |
| 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.
|
|
Hospital Privileges:
None listed
|
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JAY ALAN GEARY
|
MD |
23712 |
|
|
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