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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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JOHNSON, JORDAN       
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: 9821 S MAY AVE SUITE C
OKLAHOMA CITY OK 73159

Address last updated on 10/8/2024
Phone #: (405) 691-0505
Fax #: (405) 691-0507
County: OKLAHOMA
License: 32660
Dated: 12/22/2016
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 2011
CME Year: 2025
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 OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9821 S MAY AVE SUITE C
OKLAHOMA CITY OK 73159

Phone #: (405) 691-0505
Fax #: (405) 691-0507
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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