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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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LAMB, JEREMY BRANDON
Practice Address: 4400 GRANT BLVD
YUKON OK 73009

Address last updated on 2/28/2024
Phone #: (405) 787-8556
Fax #:
County: OKLAHOMA
License: 1870
Dated: 4/1/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2010
Temp. Ltr. Expires: 5/21/2010
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
6/17/2011 License Reinstated
5/19/2011 Suspension, License
4/6/2011 Complaint Citation
Board Filings and/or Orders:
05/19/2011
04/01/2011
04/01/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
4400 GRANT BLVD
YUKON OK 73009

Phone #: (405) 787-8556
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAUL DAVID ROTHWELL MD 10533

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