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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LA MOTTE, JEREMY PAUL       
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: No Current Practice Address
Address last updated on 6/3/2012
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 23614
Dated: 8/18/2004
Expires: 8/1/2014
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 6 / 2003
CME Year: 2016
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
8131 South Memorial Ste. 102
Tulsa, OK 74133

Phone #: (918) 872-6850
Fax #:
Mon: 9:00AM - 9:00PM
Tue: 9:00AM - 9:00PM
Wed: 9:00AM - 9:00PM
Thu: 9:00AM - 9:00PM
Fri: 9:00AM - 9:00PM
Sat: 10:00AM - 6:00PM
Sun: 10:00AM - 6:00PM

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