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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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WOOD, DAWN EDITH       
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: U.C.L.A.
23410 CIVIC CENTER WAY
SUITE E-8
MALIBU CA 90265

Address last updated on 3/20/2003
Phone #: (310) 456-1668
Fax #:
County: NOT OKLAHOMA
License: 21518
Dated: 5/19/2000
Expires: 5/1/2005
Temp. Lic. Issued: 4/21/2000
Temp. Lic. Expires: 6/24/2000
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, San Francisco, Sch Of Med, San Francisco CA 94143
Graduated: 5 / 1978
CME Year: 2006
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 INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: UniCare Health Plans of Oklahoma
Hospital Privileges: Hospital Not Listed
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Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
U.C.L.A.
23410 CIVIC CENTER WAY
SUITE E-8
MALIBU CA 90265

Phone #: (310) 456-1668
Fax #:
Tue: 1:00PM - 5:00PM 1/2 per week

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