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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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WILSON, JEFFERIE MICHAEL       
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: 21ST MDG GROUP
PETERSON AFB
COLORADO SPRINGS CO 80914

Address last updated on 11/6/2023
Phone #: (719) 556-1197
Fax #:
County: NOT OKLAHOMA
License: 29958
Dated: 7/1/2015
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 3 / 2013
CME Year: 2024
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
21ST MDG GROUP
PETERSON AFB
COLORADO SPRINGS CO 80914

Phone #: (719) 556-1197
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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