Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, May 6, 2024 1:30 PM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

Return to Search Licensees page

COFFMAN, TARA DALIS
Practice Address: JACKSON COUNTY MEMORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521-9009

Address last updated on 1/16/2024
Phone #: (580) 379-5820
Fax #: (580) 379-5829
County: JACKSON
License: 2452
Dated: 2/1/1996
Expires: 1/31/2025
Temp. Ltr. Issued: 5/30/1995
Temp. Ltr. Expires: 2/1/1996
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
JACKSON COUNTY MEMORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521-9009

Phone #: (580) 379-5820
Fax #: (580) 379-5829
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TARA RENEE GILBERT TA 1062
EMILY ELISE KELLEY TA 3584
SHELBY MARIE LUCUS TA 2777
MINDY LINN MCKEOWN TA 1063

Return to Search Licensees page