JOHNSON, JACKY LANE - Licensee Information

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Last Update: Tuesday, March 21, 2023 5:02 PM CDT
Next Update: Wednesday, March 22, 2023 2:50 AM CDT

JOHNSON, JACKY LANE

Practice Address:	LITTLETON ADVENTIST HOSPTAL 7700 S BROADWAY LITTLETON CO 80122 Address last updated on 7/21/2019
Phone #:	(303) 730-8900
Fax #:
County:	NOT OKLAHOMA
License:	5014
Dated:	9/16/2019
Expires:	9/30/2021
License Type:	Respiratory Care Practitioner
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
LITTLETON ADVENTIST HOSPTAL 7700 S BROADWAY LITTLETON CO 80122 Phone #: (303) 730-8900 Fax #:

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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
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