Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

WILEY, MARTHA DUDLEY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: SKIN & SKIN CANCER CENTER, INC
3434 NW 56TH STREET
OKLAHOMA CITY OK 73112
Phone #:
Fax #:
County: OKLAHOMA
License: 12623
Dated: 5/8/1980
Expires: 5/1/2001
License Type: Medical Doctor
Specialty: Dermatology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: 5 / 1977
CME Year: 2001
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.
Certifications: AMERICAN BOARD OF DERMATOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SKIN & SKIN CANCER CENTER, INC
3434 NW 56TH STREET
OKLAHOMA CITY OK 73112

Phone #:
Fax #:

Return to Search Licensees page