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Oklahoma Board of Medical Licensure and Supervision

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

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LAMB, JEREMY BRANDON       
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: 4400 GRANT BLVD
YUKON OK 73009

Address last updated on 2/28/2024
Phone #: (405) 787-8556
Fax #:
County: OKLAHOMA
License: 1870
Dated: 4/1/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2010
Temp. Ltr. Expires: 5/21/2010
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/17/2011 License Reinstated
5/19/2011 Suspension, License
4/6/2011 Complaint Citation
Board Filings and/or Orders:
05/19/2011
04/01/2011
04/01/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
4400 GRANT BLVD
YUKON OK 73009

Phone #: (405) 787-8556
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAUL DAVID ROTHWELL MD 10533

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