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WIGGS, WILLIAM GUSTAV       
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: 448 36TH AVENUE NW #101
NORMAN OK 73072
Phone #: (405) 364-5600
Fax #: (405) 364-5823
County: CLEVELAND
License: 14806
Dated: 6/30/1984
Expires: 6/1/2006
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1983
CME Year: 2007
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/1/2004 Probation Ended
11/12/1998 Probation
11/12/1998 Suspension, License
Board Filings and/or Orders:
11/12/1998
11/12/1998
11/12/1998
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
448 36TH AVENUE NW #101
NORMAN OK 73072

Phone #: (405) 364-5600
Fax #: (405) 364-5823

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