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JACKSON, DONALD EARL 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: 6120 NW 138TH TERRACE
GAINSVILLE FL 32653-2505

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

Phone #: (352) 332-1882
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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