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SIMMONS, JESSE LEWIS       
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: 1415 N. WATTS
PO BOX 448
SAYRE OK 73662
Phone #:
Fax #:
County: BECKHAM
License: 669
Dated: 6/24/1994
Expires: 3/31/1995
Temp. Ltr. Issued: 3/31/1994
Temp. Ltr. Expires: 7/23/1994
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
1415 N. WATTS
PO BOX 448
SAYRE OK 73662

Phone #:
Fax #:

Hospital Privileges:

None listed

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