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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DICKERSON, CHARLES WAYNE
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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.
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| Practice Address: |
No Current Practice Address
Address last updated on 12/28/2020 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
14590 |
| Dated: |
1/14/1984 |
| Expires: |
1/30/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1982 |
| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 6/28/1997 |
Probation Ended |
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| 6/25/1993 |
Modification Order |
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| 6/26/1992 |
Probation |
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Board Filings and/or Orders:
06/25/1993
06/26/1992
02/29/1992
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Duncan Regional Hospital
Duncan, OK
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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