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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GAYLOR, JESIKA MARIE       
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: NORMAN REGIONAL HEALTH SYSTEM
901 NORTH PORTER AVE
NORMAN OK 73071

Address last updated on 12/2/2024
Phone #: (405) 307-1797
Fax #:
County: CLEVELAND
License: 2293
Dated: 2/12/2024
Expires: 8/31/2024
Temp. Ltr. Issued: 1/17/2024
Temp. Ltr. Expires: 3/7/2024
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
NORMAN REGIONAL HEALTH SYSTEM
901 NORTH PORTER AVE
NORMAN OK 73071

Phone #: (405) 307-1797
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VANITA HARDIN SOUTHWARD RC 5217

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