JOHNSTON, JESSICA JEAN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

JOHNSTON, JESSICA JEAN

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:	SKINLAB INJECTABLES - OUTPATIENT CLINIC 6424 N WESTERN AVE OKLAHOMA CITY OK 73116 Address last updated on 3/30/2024
Phone #:	(405) 436-1000
Fax #:
County:	OKLAHOMA
License:	1322
Dated:	4/1/2004
Expires:	3/31/2025
Temp. Ltr. Issued:	12/23/2003
Temp. Ltr. Expires:	3/31/2004
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
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.

Locations:	Hours:	Languages:
SKINLAB INJECTABLES - OUTPATIENT CLINIC 6424 N WESTERN AVE OKLAHOMA CITY OK 73116 Phone #: (405) 436-1000 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
VYTAUTAS MATAS RINGUS	MD	27975

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