HONEYWELL, JACALYN MICHELLE - Licensee Information

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

HONEYWELL, JACALYN MICHELLE

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:	QUICK URGENT CARE 1421 NW 122ND ST OKLAHOMA CITY OK 73114 Address last updated on 9/9/2024
Phone #:	(405) 286-2888
Fax #:
County:	OKLAHOMA
License:	4804
Dated:	6/2/2022
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:
QUICK URGENT CARE 1421 NW 122ND ST OKLAHOMA CITY OK 73114 Phone #: (405) 286-2888 Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Valir Rehabilitation Hospital
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
SAUD IQBAL AHMED	MD	29704
AHMAD ASHFAQ	MD	30335
KHALID AYUB KHAN	MD	19113
TRACY A. KIDWELL	DO	3809
JAMES LE	DO	5402

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