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Oklahoma Board of Medical Licensure and Supervision

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JENNINGS, JAMES RAY JR       
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: RAPHA MEDICAL LLC
800 S 9TH ST #A
BROKEN ARROW OK 74012

Address last updated on 2/12/2015
Phone #: (918) 827-6700
Fax #:
County: TULSA
License: 142
Dated: 3/7/2013
Expires: 1/31/2021
Temp. Ltr. Issued: 12/14/2012
Temp. Ltr. Expires: 3/8/2013
License Type: Licensed Pedorthist
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:
RAPHA MEDICAL LLC
800 S 9TH ST #A
BROKEN ARROW OK 74012

Phone #: (918) 827-6700
Fax #:

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