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JOLLEY, STEPHEN GIDEON       
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: 3201 MARYLAND PARKWAY
LAS VEGAS NV 89109
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14679
Dated: 5/21/1984
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: Pediatric Surgery (Surgery)
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: 5 / 1976
CME Year:
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3201 MARYLAND PARKWAY
LAS VEGAS NV 89109

Phone #:
Fax #:

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