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JACKSON, DONALD EARL JR
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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: |
6120 NW 138TH TERRACE
GAINSVILLE FL 32653-2505
Address last updated on 4/5/2013 |
Phone #: |
(352) 332-1882 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
27512 |
Dated: |
6/15/2010 |
Expires: |
6/1/2014 |
License Type: |
Medical Doctor |
Specialty: |
Diagnostic Radiology
Neuroradiology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Keck Sch of Med of the USC, LOS ANGELES CA 90089 |
Graduated: |
6 /
1979 |
CME Year: |
2016 |
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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 RADIOLOGY
AMERICAN BOARD OF RADIOLOGY - Neuroradiology
AMERICAN BOARD OF RADIOLOGY - Nuclear Radiology |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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