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FOWLER, JOHNNY MCKAY JR       
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: Not Currently Practicing
TAHLEQUAH OK

Address last updated on 5/5/2009
Phone #:
Fax #:
County: CHEROKEE
License: 22822
Dated: 6/12/2002
Expires: 5/20/2010
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Mercer Univ Sch Of Med, Macon Ga 31207
Graduated: 5 / 1999
CME Year: 2011
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/20/2010 Revoked License
3/4/2010 Complaint Citation
9/18/2008 Probation
7/31/2008 Complaint Citation
Board Filings and/or Orders:
05/20/2010
02/26/2010
02/26/2010
09/18/2008
07/31/2008
07/31/2008
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
TAHLEQUAH OK

Phone #:
Fax #:

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