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Next Update: Friday, March 29, 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 |
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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.
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Certifications: |
|
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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