GORTON, JORGE ALLEN - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

GORTON, JORGE ALLEN

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:	NORMAN REGIONAL OCCUPATIONAL MEDICINE 724 24TH AVE. NW SUITE 200 NORMAN OK 73069 Address last updated on 3/6/2024
Phone #:	(405) 515-0960
Fax #:	(405) 307-5660
County:	CLEVELAND
License:	1619
Dated:	1/22/2007
Expires:	3/31/2025
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:
NORMAN REGIONAL OCCUPATIONAL MEDICINE 724 24TH AVE. NW SUITE 200 NORMAN OK 73069 Phone #: (405) 515-0960 Fax #: (405) 307-5660

Hospital Privileges:

Moore Medical Center
Moore, OK
Norman Regional Hospital
Norman, OK

Name:	Type:	License Number:
Primary Supervisor(s):
THEODORE ALAN BOEHM	MD	23491
Jason Max Taylor	DO	4693

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