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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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YOHANNAN, JINCY
Practice Address: VA PULM SPECIALTY CLINIC
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 2/17/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 2571
Dated: 1/6/2016
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
VA PULM SPECIALTY CLINIC
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KELLIE RENEE JONES MD 20751
JEAN I. KEDDISSI MD 20091

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