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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JACKSON, MICHAEL RAY
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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: |
103 N FIRST
ROCKWALL TX 75087
Address last updated on 4/5/2010 |
| Phone #: |
(972) 771-5366 |
| Fax #: |
(972) 771-0424 |
| County: |
NOT OKLAHOMA |
| License: |
19730 |
| Dated: |
6/3/1996 |
| Expires: |
6/1/2011 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
1993 |
| CME Year: |
2013 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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 FAMILY MEDICINE |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
103 N FIRST
ROCKWALL TX 75087
Phone #:
(972) 771-5366
Fax #:
(972) 771-0424 |
Mon: 8:00AM - 5:00PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: |
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