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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BOUCHER, JEREMY MICHAEL       
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: 8100 S WALKER AVE
BLDG C
OKLAHOMA CITY OK 73139

Address last updated on 6/9/2024
Phone #: (405) 602-6500
Fax #:
County: OKLAHOMA
License: 23387
Dated: 8/18/2004
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Anesthesiology
Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2003
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
8/19/2016 Probation Ended
1/16/2014 Modification Order
7/25/2013 Modification Order
8/19/2011 Probation
5/19/2011 Suspension, License
3/23/2011 Complaint Citation
Board Filings and/or Orders:
01/24/2014
08/02/2013
05/19/2011
03/18/2011
03/18/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
AMERICAN BOARD OF PREVENTIVE MEDICINE - Addiction Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8100 S WALKER AVE
BLDG C
OKLAHOMA CITY OK 73139

Phone #: (405) 602-6500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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