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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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CROSS, CARRIE IRENE       
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: ST JOHN CLINIC PRIMARY CARE JENKS
220 S ELM ST
SUITE 200
JENKS OK 74037

Address last updated on 8/22/2024
Phone #: (918) 403-7144
Fax #:
County: TULSA
License: 2622
Dated: 1/14/2016
Expires: 3/31/2025
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:
ST JOHN CLINIC PRIMARY CARE JENKS
220 S ELM ST
SUITE 200
JENKS OK 74037

Phone #: (918) 403-7144
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THERON BLISS DO 4618
JEFFREY BRIAN CRAIG MD 27305
CYNTHIA ANN MALOY MD 17295
Jeremy Ransdell DO 6042

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