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COTTRELL, JACKIE DAWN       
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: AMG SPECIALTY HOSPITAL
4300 W. MEMORIAL RD.
2ND FLOOR
OKLAHOMA CITY OK 73120

Address last updated on 2/6/2023
Phone #: (405) 936-5882
Fax #:
County: OKLAHOMA
License: 4869
Dated: 3/7/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 2/8/2019
Temp. Ltr. Expires: 3/7/2019
License Type: Respiratory Care Practitioner
Specialty:
Status: Active
Status Class: Fully Licensed
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:
AMG SPECIALTY HOSPITAL
4300 W. MEMORIAL RD.
2ND FLOOR
OKLAHOMA CITY OK 73120

Phone #: (405) 936-5882
Fax #:

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