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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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JACKSON, DAVID BAXTER       
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: OKLA MEMORIAL HOSP
DEPT OF EMERG MED
P O BOX 26307
OKLAHOMA CITY OK 73126
Phone #:
Fax #:
County: OKLAHOMA
License: 16126
Dated: 7/1/1987
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Emergency Medicine
Internal Medicine
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 / 1986
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLA MEMORIAL HOSP
DEPT OF EMERG MED
P O BOX 26307
OKLAHOMA CITY OK 73126

Phone #:
Fax #:

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