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WHITAKER, WILLIE ROSCOE       
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: 325 B INFANTRY TERRACE
SAN FRANCISCO CA 94129
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16594
Dated: 7/6/1988
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduated: 6 / 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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
325 B INFANTRY TERRACE
SAN FRANCISCO CA 94129

Phone #:
Fax #:

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