ANGE, JETTA DAWN - Licensee Information

Search Results

Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

ANGE, JETTA DAWN

Practice Address:	ALLERGY EAR NOSE AND THROAT INSTITUTE 4920 SW LEE BLVD LAWTON OK 73505 Address last updated on 3/14/2024
Phone #:	(580) 536-8844
Fax #:
County:	COMANCHE
License:	2764
Dated:	1/26/2017
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:
ALLERGY EAR NOSE AND THROAT INSTITUTE 4920 SW LEE BLVD LAWTON OK 73505 Phone #: (580) 536-8844 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DALE B SMITH	DO	2833

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
Contact Info