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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Monday, May 20, 2024 12:00 PM CDT

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AXTELL, JERRY LEIGH       
Practice Address: EAST COUNTY COMMUNITY CLINICS
SAN DIEGO CA 92124
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 12419
Dated: 8/30/1979
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1978
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EAST COUNTY COMMUNITY CLINICS
SAN DIEGO CA 92124

Phone #:
Fax #:

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