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Oklahoma Board of Medical Licensure and Supervision

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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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PUTMAN, JESSICA GAMBILL       
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: 825 NE 10TH STREET
STE 5D
OKLAHOMA CITY OK 73104-5417

Address last updated on 4/4/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 39481
Dated: 6/8/2022
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2016
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 OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
825 NE 10TH STREET
STE 5D
OKLAHOMA CITY OK 73104-5417

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAMARA ANASTASIA POTEAT PA 1819

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