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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 11, 2024 4:03 AM CDT
Next Update: Saturday, May 11, 2024 12:00 PM CDT

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COOK, TANNER LEE       
Practice Address: 1923 SOUTH UTICA AVENUE
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Address last updated on 3/21/2024
Phone #:
Fax #:
County: TULSA
License: 5047
Dated: 5/2/2023
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:
1923 SOUTH UTICA AVENUE
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ZAINAL MOIZ HUSSAIN MD 33374
MOBOLAJI OBAFUNMILOLA OLULADE MD 29128
MICHAEL RAY PHILLIPS MD 29306

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