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WILLSON, AMANDA MILLER       
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: 3902 BROOK SHADOW DRIVE
KINGWOOD TX 77345
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17810
Dated: 7/10/1991
Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: ORAL ROBERTS UNIV SCH OF MED, TULSA OK 74137
Graduated: 5 / 1990
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3902 BROOK SHADOW DRIVE
KINGWOOD TX 77345

Phone #:
Fax #:

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