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Oklahoma Board of Medical Licensure and Supervision

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YOUNG, JESSICA JANE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 CAMPUS
WEATHERFORD OK 73096

Address last updated on 8/10/2017
Phone #: (580) 774-3186
Fax #:
County: CUSTER
License: 467
Dated: 9/21/2006
Expires: 8/31/2018
Temp. Ltr. Issued: 8/3/2006
Temp. Ltr. Expires: 11/4/2006
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 CAMPUS
WEATHERFORD OK 73096

Phone #: (580) 774-3186
Fax #:

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