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WALTERS, JEANNICE RENEE       
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: 3450 SE FRANK PHILLIPS BLVD
BARTLESVILLE OK 74006
Phone #: (918) 331-2273
Fax #:
County: WASHINGTON
License: 862
Dated: 1/5/1998
Expires: 3/31/2003
Temp. Ltr. Issued: 8/7/1997
Temp. Ltr. Expires: 8/7/1998
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:
3450 SE FRANK PHILLIPS BLVD
BARTLESVILLE OK 74006

Phone #: (918) 331-2273
Fax #:

Hospital Privileges:

None listed

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