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TREADWELL, JEFF L       
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: INTEGRIS BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 5/30/2013
Phone #: (405) 951-2714
Fax #:
County: OKLAHOMA
License: 620
Dated: 2/27/1993
Expires: 3/31/2014
Temp. Ltr. Issued: 1/19/2006
Temp. Ltr. Expires: 5/11/2006
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/19/2011 Probation Ended
9/23/2004 Probation
5/9/2002 Surrendered License
Board Filings and/or Orders:
09/23/2003
05/09/2002
05/07/2002
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
INTEGRIS BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 951-2714
Fax #:

Hospital Privileges:

None listed

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