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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, December 22, 2024 2:50 AM CST

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GREGORY, JARRETT GORDON       
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: 810 W BROADWAY
ARDMORE OK 73401

Address last updated on 4/24/2012
Phone #: (580) 319-5295
Fax #: (580) 319-5294
County: CARTER
License: 13611
Dated: 5/17/1982
Expires: 5/1/2014
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Emergency Medicine
Nuclear Medicine
Other Specialty
Pain Medicine
Status: Inactive
Status Class: Deceased
Restricted to: Agreement Not to Practice
Registered to Dispense: YES
Medical School: Wake Forest Univ Sch of Med, Winston-Salem, NC 27157
Graduated: 6 / 1970
CME Year: 2014
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/16/2013 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
03/15/2016
05/23/2014
03/14/2014
01/10/2014
11/15/2013
09/12/2013
07/11/2013
07/11/2013
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
AMERICAN BOARD OF RADIOLOGY - Nuclear Radiology
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
810 W BROADWAY
ARDMORE OK 73401

Phone #: (580) 319-5295
Fax #: (580) 319-5294

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