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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, January 20, 2021 5:24 PM CST
Next Update: Thursday, January 21, 2021 2:50 AM CST

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BOUCHER, JEREMY MICHAEL
Practice Address: JEREMY M BOUCHER MD PLLC
301 SOUTH DUCK STREET
SUITE 1
STILLWATER OK 74074

Address last updated on 1/13/2021
Phone #: (405) 367-5638
Fax #:
County: PAYNE
License: 23387
Dated: 8/18/2004
Expires: 8/1/2021
License Type: Medical Doctor
Specialty: Anesthesiology
Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2003
CME Year: 2022
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
8/19/2016 Probation Ended
1/16/2014 Modification Order Motion to modify terms of probation and for approval of participation in fellowship program.
7/25/2013 Modification Order Probation modified to allow extended work hours.
8/19/2011 Probation Alcohol Abuse
Fraud Obtaining License Credentials
Sexual Misconduct
CDS Violation
5years
5/19/2011 Suspension, License Alcohol Abuse
Fraud Obtaining License Credentials
Sexual Misconduct
CDS Violation
Suspended 3 months- $20,000.00 Administrative Fine, Community Service followed by 5 yrs probation.
3/23/2011 Complaint Citation Alcohol Abuse
Board Filings and/or Orders:
01/24/2014
08/02/2013
05/19/2011
03/18/2011
03/18/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Foundation Surgery Center
Oklahoma City, OK
Locations: Hours: Languages:
JEREMY M BOUCHER MD PLLC
301 SOUTH DUCK STREET
SUITE 1
STILLWATER OK 74074

Phone #: (405) 367-5638
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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