LUTTRELL, MADELINE ELAINE - Licensee Information

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

LUTTRELL, MADELINE ELAINE

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 MEDICAL CENTER EMERGENCY DEPARTMENT OKLAHOMA CITY OK 73104 Address last updated on 3/9/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	2185
Dated:	2/8/2013
Expires:	3/31/2025
Temp. Ltr. Issued:	11/23/2016
Temp. Ltr. Expires:	3/2/2017
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 MEDICAL CENTER EMERGENCY DEPARTMENT OKLAHOMA CITY OK 73104 Phone #: Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
TIFFANY GAIL BRAZEAL	MD	27705
BRENT D CHANDLER	DO	3841
JOSEPH CLARK LEE	DO	5495
TRAVIS BENJAMIN REDMON	MD	31554

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