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BULLOCK, SALLY JO       
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: UNIVERSITY OF OKLAHOMA - HSC
920 STANTON L YOUNG BLVD WP2140
OKLAHOMA CITY OK 73104

Address last updated on 6/26/2013
Phone #: (405) 271-8470
Fax #:
County: OKLAHOMA
License: 27145
Dated: 7/19/2010
Expires: 7/1/2014
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843
Graduated: 5 / 2009
CME Year: 2016
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA - HSC
920 STANTON L YOUNG BLVD WP2140
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8470
Fax #:

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