O'DONNELL, ERIN LEA - 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

O'DONNELL, ERIN LEA

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:	PEDIATRIC ENT OF OKLAHOMA (MCBRIDE) 9900 BROADWAY EXT #200 OKLAHOMA CITY OK 73114 Address last updated on 3/23/2024
Phone #:	(405) 608-8833
Fax #:
County:	OKLAHOMA
License:	1790
Dated:	1/29/2009
Expires:	3/31/2025
Temp. Ltr. Issued:	1/9/2009
Temp. Ltr. Expires:	3/27/2009
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:
PEDIATRIC ENT OF OKLAHOMA (MCBRIDE) 9900 BROADWAY EXT #200 OKLAHOMA CITY OK 73114 Phone #: (405) 608-8833 Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
GERMAN PAUL DIGOY	MD	24270
JESSICA MARIA YOCUM	MD	30782

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