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AVERY, ALFRED ESTIN
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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: |
HILLCREST MEDICAL GROUP
1245 S UTICA AVE
TULSA OK 74104
Address last updated on 5/22/2007 |
| Phone #: |
(918) 560-3825 |
| Fax #: |
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| County: |
TULSA |
| License: |
22650 |
| Dated: |
3/25/2002 |
| Expires: |
3/1/2003 |
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Temp.
Lic.
Issued:
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12/20/2001 |
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Temp.
Lic.
Expires:
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5/11/2002 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology
Palliative Medicine
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
| Graduated: |
5 /
1984 |
| CME Year: |
2005 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/20/2003 |
Revoked License |
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Board Filings and/or Orders:
11/26/2003
02/21/2003
02/21/2003
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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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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