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Next Update: Friday, December 20, 2024 2:50 AM CST
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STILLICK, WAYNE EDWARD
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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: |
ERLANGER HEALTH
979 EAST THIRD STREET
CHATTANOOGA TN 37403
Address last updated on 10/20/2020 |
| Phone #: |
(216) 246-2352 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
21762 |
| Dated: |
8/30/2000 |
| Expires: |
8/1/2011 |
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Training
Issued:
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7/1/1999 |
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Training
Expires:
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8/30/2000 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics
Neonatal-Perinatal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1999 |
| CME Year: |
2012 |
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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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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