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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 5, 2024 1:51 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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BRADSHAW, JERRI LYNN       
Practice Address: 16370 HWY 70
LONE GROVE OK 73443

Address last updated on 8/19/2024
Phone #: (580) 224-2862
Fax #: (580) 224-2863
County: OKLAHOMA
License: 1402
Dated: 4/1/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 1/13/2005
Temp. Ltr. Expires: 4/2/2005
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:
16370 HWY 70
LONE GROVE OK 73443

Phone #: (580) 224-2862
Fax #: (580) 224-2863

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DEREK TODD LANDIS MD 25666
JEFFREY ALAN ROTHER MD 17679

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