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

Search Results

Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

Return to Search Licensees page

RUSSELL, JERRY LEE       
Practice Address: JERRY RUSSELL MD
PO BOX 189
ROLAND OK 74954

Address last updated on 4/4/2003
Phone #: (918) 427-5717
Fax #:
County: SEQUOYAH
License: 13657
Dated: 5/20/1982
Expires: 5/1/2007
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1979
CME Year: 2007
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: No
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
JERRY RUSSELL MD
PO BOX 189
ROLAND OK 74954

Phone #: (918) 427-5717
Fax #:

Return to Search Licensees page