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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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CLAUNCH, JERE D
Practice Address: PRAIRIE GARDENS MEDICAL
12301 N WESTERN AVE
SUITE 101
OKLAHOMA CITY OK 73114

Address last updated on 3/29/2024
Phone #: (405) 962-8123
Fax #: (405) 509-8168
County: OKLAHOMA
License: 1432
Dated: 5/5/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 3/4/2005
Temp. Ltr. Expires: 5/7/2005
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
2/3/2012 License Reinstated
11/3/2011 Suspension, License
9/13/2011 Complaint Citation
Board Filings and/or Orders:
11/03/2011
08/19/2011
08/19/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
PRAIRIE GARDENS MEDICAL
12301 N WESTERN AVE
SUITE 101
OKLAHOMA CITY OK 73114

Phone #: (405) 962-8123
Fax #: (405) 509-8168

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEVEN ALAN DRABEK MD 15209
JOHN W NELSON MD 24875
Lan-Uyen Nguyen DO 7404
JOEL SCOTT TUPPER MD 17397

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