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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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BLACK, JEFFREY LANE
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Practice Address: |
1717A SOUTH UTICA
TULSA OK 74104
Address last updated on 5/3/2022 |
Phone #: |
(918) 691-5704 |
Fax #: |
(918) 748-1301 |
County: |
TULSA |
License: |
16468 |
Dated: |
7/1/1988 |
Expires: |
7/1/2024 |
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 /
1987 |
CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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