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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT
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|
GOMILLION, JESSICA LANE |
| Practice Address: |
OSCAR MEDICAL GROUP
75 VARICK STREET FLOOR 5
NEW YORK NY 10013
Address last updated on 3/19/2024 |
| Phone #: |
(855) 961-1942 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
4509 |
| Dated: |
2/9/2021 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
12/14/2020 |
|
Temp.
Ltr.
Expires:
|
3/11/2021 |
| 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.
|
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Hospital Privileges:
None listed
|
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
WASEEM GHANNAM
|
MD |
34343 |
|
|
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