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OKEMAH, JOHN 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: KICKAPOO TRIBAL HEALTH CENTER
105365 S. HIGHWAY 102
P.O. BOX 1058
MCLOUD OK 74851-1059

Address last updated on 5/22/2017
Phone #: (405) 964-2081
Fax #: (405) 964-2907
County: POTTAWATOMIE
License: 22292
Dated: 6/29/2001
Expires: 6/1/2018
License Type: Medical Doctor
Specialty: Internal Medicine
Diabetes
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201
Graduated: 5 / 1997
CME Year: 2018
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:
KICKAPOO TRIBAL HEALTH CENTER
105365 S. HIGHWAY 102
P.O. BOX 1058
MCLOUD OK 74851-1059

Phone #: (405) 964-2081
Fax #: (405) 964-2907
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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