WELLS-BURRIS, JESSICA MARIE - 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

WELLS-BURRIS, JESSICA MARIE

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:	MEDICAL CENTER PAIN CLINIC 1226 NORTH SHARTEL AVENUE SUITE 300 OKLAHOMA CITY OK 73103 Address last updated on 3/27/2024
Phone #:	(405) 232-8003
Fax #:	(405) 232-8008
County:	OKLAHOMA
License:	2102
Dated:	1/12/2012
Expires:	3/31/2025
Temp. Ltr. Issued:	1/3/2012
Temp. Ltr. Expires:	4/1/2012
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:
MEDICAL CENTER PAIN CLINIC 1226 NORTH SHARTEL AVENUE SUITE 300 OKLAHOMA CITY OK 73103 Phone #: (405) 232-8003 Fax #: (405) 232-8008

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
TIMOTHY LUKE CRAMER	MD	30764
DAVID PAUL ELLIS	MD	15874
MARS SURBANO MARTINEZ	MD	13951

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