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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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LEDET, JOHNATHAN JAMES       
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: 6565 S YALE
STE 1200 KELLY BUILDING
TULSA OK 74136

Address last updated on 9/3/2024
Phone #: (918) 502-3376
Fax #:
County: TULSA
License: 33281
Dated: 10/16/2017
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Dermatologic Surgery
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 / 2009
CME Year: 2026
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 DERMATOLOGY
AMERICAN BOARD OF DERMATOLOGY - Micrographic Dermatologic Surgery
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: CommunityCare HMO, Inc
CommunityCare Senior HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
6565 S YALE
STE 1200 KELLY BUILDING
TULSA OK 74136

Phone #: (918) 502-3376
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREA MICHELLE BELLASSAI PA 4792
ANNE CLAIRE EDMONDS PA 2911
TAYLOR SUE EVES PA 2491
VALERIE TERRELL PA 2878

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