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Oklahoma Board of Medical Licensure and Supervision

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EDGE, JODIE LEE       
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: 500 E. ROBINSON, #600
NORMAN OK 73071

Address last updated on 1/9/2007
Phone #: (405) 321-3719
Fax #: (405) 364-3209
County: CLEVELAND
License: 6865
Dated: 6/8/1955
Expires: 6/1/2007
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1955
CME Year: 2007
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/20/2006 Probation
7/29/2004 Surrendered License
6/9/1989 Reprimand
Board Filings and/or Orders:
07/20/2006
07/29/2004
07/29/2004
04/16/2004
04/16/2004
06/09/1989
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Hospital Privileges: None listed
Locations: Hours: Languages:
500 E. ROBINSON, #600
NORMAN OK 73071

Phone #: (405) 321-3719
Fax #: (405) 364-3209

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