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Oklahoma Board of Medical Licensure and Supervision

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

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JENKINS, MICHAEL LEE       
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: 315 NORTH THIRD
PO BOX 647
CLAYTON NM 88415-0647
Phone #: (505) 374-2521
Fax #: (505) 374-2498
County: NOT OKLAHOMA
License: 13572
Dated: 3/27/1982
Expires: 10/24/2006
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 6 / 1971
CME Year: 2007
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 SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
315 NORTH THIRD
PO BOX 647
CLAYTON NM 88415-0647

Phone #: (505) 374-2521
Fax #: (505) 374-2498
Spanish

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