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Oklahoma Board of Medical Licensure and Supervision

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STANFIELD, JENNIFER DONEGAN       
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: UTC STUDENT HEALTH
615 MCCALLIE AVE
CHATTANOOGA TN 37403

Address last updated on 3/19/2004
Phone #: (423) 425-4453
Fax #:
County: NOT OKLAHOMA
License: 1059
Dated: 4/1/2001
Expires: 3/31/2004
Temp. Ltr. Issued: 2/1/2001
Temp. Ltr. Expires: 3/31/2001
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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.
Locations: Hours: Languages:
UTC STUDENT HEALTH
615 MCCALLIE AVE
CHATTANOOGA TN 37403

Phone #: (423) 425-4453
Fax #:

Hospital Privileges:

None listed

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