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Next Update: Thursday, December 19, 2024 12:00 PM CST
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WILSON, MICHAEL ROSS
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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: |
NORTHWEST ARKANSAS UROLOGY
1300 E ZION RD
FAYETTEVILLE AR 72703
Address last updated on 6/18/2012 |
| Phone #: |
(479) 521-8980 |
| Fax #: |
(479) 521-8982 |
| County: |
NOT OKLAHOMA |
| License: |
20846 |
| Dated: |
7/30/1998 |
| Expires: |
7/1/2013 |
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Training
Issued:
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7/1/1997 |
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Training
Expires:
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8/1/1998 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of IA Roy J & L Carver COM, Iowa City, IA 52242 |
| Graduated: |
5 /
1997 |
| 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 UROLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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