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Next Update: Thursday, April 25, 2024 2:50 AM CDT
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|
ELLIS, JERI LYNN |
| Practice Address: |
420 N. KICKAPOO
SHAWNEE OK 74804
Address last updated on 2/2/2018 |
| Phone #: |
(405) 273-9327 |
| Fax #: |
(405) 273-9300 |
| County: |
POTTAWATOMIE |
| License: |
20048 |
| Dated: |
2/24/1997 |
| Expires: |
2/1/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice
Occupational Medicine |
|
| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
D Geffen Sch of Med-UCLA, Los Angeles CA 90095 |
| Graduated: |
6 /
1989 |
| CME Year: |
2019 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 1/8/2018 |
Complaint Citation |
|
|
| #1/1/1900# |
Past Disciplinary Action |
|
|
Board Filings and/or Orders:
01/31/2018
01/08/2018
01/08/2018
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
|
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
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