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
|
WAUTERS, BRENT LOUIS
|
|
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: |
No Current Practice Address
Address last updated on 5/2/2024 |
| Phone #: |
|
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
12751 |
| Dated: |
7/1/1980 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency 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: |
6 /
1979 |
| CME Year: |
2027 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 10/21/1989 |
Probation Ended |
|
|
| 9/15/1988 |
Probation |
|
|
Board Filings and/or Orders:
10/21/1989
09/15/1988
08/05/1988
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF EMERGENCY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
CommunityCare HMO, Inc
HealthChoice
Humana ChoiceCare
OSMA Health (formerly Plico PPO)
PPO USA |
| Hospital Privileges: |
Grady Memorial Hospital
Chickasha, OK
|
|
| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
|
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: |
|
|
|
|
Return to Search Licensees page
