MEDINA, JOSE ANTONIO - Licensee Information

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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

MEDINA, JOSE ANTONIO

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:	MERCY OKLAHOMA CITY EMERGENCY DEPARTMENT 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73034 Address last updated on 3/13/2024
Phone #:	(405) 752-3030
Fax #:
County:	OKLAHOMA
License:	1575
Dated:	4/1/2007
Expires:	3/31/2025
Temp. Ltr. Issued:	2/1/2007
Temp. Ltr. Expires:	5/19/2007
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:
MERCY OKLAHOMA CITY EMERGENCY DEPARTMENT 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73034 Phone #: (405) 752-3030 Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
ROBERT CONRAD DIMSKI	MD	14821
JOSH ERIC MCWILLIAMS	MD	23717
BRENT ALAN MEFFORD	MD	25486
MICHAEL DUANE PLINSKY	MD	26506

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