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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 11:07 AM CDT
Next Update: Wednesday, April 24, 2024 4:30 PM CDT

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DOW, TOD MCCORMICK
Practice Address: VA MEDICAL CENTER
921 N.E. 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/9/2024
Phone #: (405) 456-3054
Fax #:
County: OKLAHOMA
License: 799
Dated: 12/26/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 11/1/1996
Temp. Ltr. Expires: 11/1/1997
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.
Locations: Hours: Languages:
VA MEDICAL CENTER
921 N.E. 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 456-3054
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VICKI THERESE LAMPLEY MD 17655
SOPUKRO WENIKE TIENABESO MD 24308

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