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WILSON, J. SCOT       
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: 1607 SOUTH MUSKOGEE
TAHLEQUAH OK 74464

Address last updated on 1/26/2006
Phone #:
Fax #: (918) 456-7727
County: CHEROKEE
License: 17703
Dated: 7/1/1991
Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: ORAL ROBERTS UNIV SCH OF MED, TULSA OK 74137
Graduated: 5 / 1990
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/12/1998 Revoked License
Board Filings and/or Orders:
01/26/2006
11/12/1998
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:
1607 SOUTH MUSKOGEE
TAHLEQUAH OK 74464

Phone #:
Fax #: (918) 456-7727
Not Currently Practicing
TAHLEQUAH OK 74464

Phone #:
Fax #: (918) 456-7727

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