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Oklahoma Board of Medical Licensure and Supervision

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PAYNE, JENNIE LEE       
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: EASTERN OK MEDICAL CENTER
105 WALL STREET
POTEAU OK 74953
Phone #:
Fax #:
County: LEFLORE
License: 17250
Dated: 5/24/1990
Expires: 5/1/1998
Temp. Lic. Issued: 11/16/1989
Temp. Lic. Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Anesthesiology
Emergency Medicine
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: ST GEORGE'S UNIVERSITY
Graduated: 6 / 1987
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EASTERN OK MEDICAL CENTER
105 WALL STREET
POTEAU OK 74953

Phone #:
Fax #:

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