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Oklahoma Board of Medical Licensure and Supervision

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CANNON, DEBRA JEAN       
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: GEORGIA REGIONAL HOSPITAL
FORENSIC UNIT
PO BOX 370407
ATLANTA GA 30034

Address last updated on 8/11/2004
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16575
Dated: 7/1/1988
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1982
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
2/11/1994 Probation Ended
6/26/1992 Probation
Board Filings and/or Orders:
06/26/1992
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:
GEORGIA REGIONAL HOSPITAL
FORENSIC UNIT
PO BOX 370407
ATLANTA GA 30034

Phone #:
Fax #:

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