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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MILLER, JACK M
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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: |
3942 BROADMOOR CIRCLE
NAPERVILLE IL 60564- 975
Address last updated on 8/14/2019 |
| Phone #: |
(918) 232-2455 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
23187 |
| Dated: |
10/28/2002 |
| Expires: |
1/30/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Il Coll Of Med, Chicago Il 60680 |
| Graduated: |
6 /
1968 |
| CME Year: |
2020 |
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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 OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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