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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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WILLEY, LINDSEY MICHELLE       
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: JERDAN DERMATOLOGY & LAZER INSTITUTE
1211 N SHARTEL AVE #802
OKLAHOMA CITY OK 73103

Address last updated on 8/15/2024
Phone #: (405) 212-2880
Fax #:
County: OKLAHOMA
License: 1908
Dated: 5/20/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 4/23/2010
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: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
JERDAN DERMATOLOGY & LAZER INSTITUTE
1211 N SHARTEL AVE #802
OKLAHOMA CITY OK 73103

Phone #: (405) 212-2880
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY RACHEL JERDAN MD 35118

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