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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NOLEN, JACK RICHARD       
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: MUSKOGEE REGIONAL MEDICAL CTR
300 EDNA ROCKEFELLER DRIVE
MUSKOGEE OK 74401-5081
Phone #: (918) 684-2563
Fax #: (918) 684-2552
County: MUSKOGEE
License: 20524
Dated: 1/23/1998
Expires: 2/15/2005
License Type: Medical Doctor
Specialty: Other Specialty
Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Birmingham Med Coll, Birmingham
Graduated: 6 / 1955
CME Year: 2007
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 OBSTETRICS AND GYNECOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MUSKOGEE REGIONAL MEDICAL CTR
300 EDNA ROCKEFELLER DRIVE
MUSKOGEE OK 74401-5081

Phone #: (918) 684-2563
Fax #: (918) 684-2552

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