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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 1, 2024 3:54 AM CDT
Next Update: Monday, July 1, 2024 12:00 PM CDT

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JORDEN, SAMUEL T       
Practice Address: ASCENSION MEDICAL GROUP ST. JOHN GENERAL SURGERY
220 S ELM ST
JENKS OK 74037

Address last updated on 6/25/2024
Phone #: (918) 994-9250
Fax #:
County: TULSA
License: 4590
Dated: 4/21/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 3/25/2021
Temp. Ltr. Expires: 5/13/2021
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:
ASCENSION MEDICAL GROUP ST. JOHN GENERAL SURGERY
220 S ELM ST
JENKS OK 74037

Phone #: (918) 994-9250
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DEBRA LYNNE VAN ZANDT MD 28577

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