LUETKEMEYER, JESSICA LEE - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

LUETKEMEYER, JESSICA LEE

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:	OU FAMILY AND COMMUNITY MEDICINE 1111 S. ST. LOUIS AVE TULSA OK 74120 Address last updated on 2/13/2024
Phone #:
Fax #:
County:	TULSA
License:	1960
Dated:	1/13/2011
Expires:	3/31/2025
Temp. Ltr. Issued:	1/7/2011
Temp. Ltr. Expires:	4/8/2011
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:
OU FAMILY AND COMMUNITY MEDICINE 1111 S. ST. LOUIS AVE TULSA OK 74120 Phone #: Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
LAMONT EDWARD CAVANAGH	MD	18457
L JANELLE WHITT	DO	3610

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