KING, JACK TRAVIS - Licensee Information - Oklahoma Medical Board

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Last Update: Sunday, April 2, 2023 4:26 AM CDT
Next Update: Sunday, April 2, 2023 12:00 PM CDT

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KING, JACK TRAVIS

Practice Address:	GREAT PLAINS REGIONAL MEDICAL CENTER 3RD AND LINCOLN ELK CITY OK 73644 Address last updated on 5/8/2022
Phone #:	(580) 225-2511
Fax #:
County:	BECKHAM
License:	2412
Dated:	6/15/2004
Expires:	6/30/2024
Temp. Ltr. Issued:	5/14/2004
Temp. Ltr. Expires:	6/25/2004
License Type:	Respiratory Care Practitioner
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
GREAT PLAINS REGIONAL MEDICAL CENTER 3RD AND LINCOLN ELK CITY OK 73644 Phone #: (580) 225-2511 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
CHRISTINA NICOLE ALLEN	RC	6169

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