JENNINGS, CHARLES RAY III - 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

JENNINGS, CHARLES RAY III

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:	GENERATIONS FAMILY MEDICAL CLINIC 206 EAST BLUE STARR DR CLAREMORE OK 74017 Address last updated on 6/3/2024
Phone #:	(918) 341-8100
Fax #:	(918) 341-8139
County:	ROGERS
License:	1549
Dated:	11/2/2006
Expires:	3/31/2025
Temp. Ltr. Issued:	8/10/2006
Temp. Ltr. Expires:	11/4/2006
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:
GENERATIONS FAMILY MEDICAL CLINIC 206 EAST BLUE STARR DR CLAREMORE OK 74017 Phone #: (918) 341-8100 Fax #: (918) 341-8139

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
ALFRED TAYLOR COX	MD	14521
GREGORY DISALVATORE	DO	3457

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