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Next Update: Thursday, December 19, 2024 2:50 AM CST
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ELLIS, MICHAEL
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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.
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| Practice Address: |
BOX 8199
MARSHALL TX 75671-8199
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
17541 |
| Dated: |
11/30/1990 |
| Expires: |
11/1/2002 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tulane Univ Sch Of Med, New Orleans La 70112 |
| Graduated: |
5 /
1960 |
| CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/21/2002 |
Suspension, License |
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Board Filings and/or Orders:
11/21/2002
08/08/2002
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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 PATHOLOGY |
| 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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