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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PEARSON, CHARLES RAY       
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: XSTREMEMD
1028 FORUM DRIVE
BROUSSARD LA 70518

Address last updated on 9/29/2021
Phone #: (337) 704-0891
Fax #: (337) 704-0924
County: NOT OKLAHOMA
License: 31682
Dated: 11/18/2015
Expires: 11/1/2022
License Type: Medical Doctor
Specialty: Internal Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 7 / 1973
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
XSTREMEMD
1028 FORUM DRIVE
BROUSSARD LA 70518

Phone #: (337) 704-0891
Fax #: (337) 704-0924
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri: 7:00AM - 5:00PM
Sat:
Sun: WORK SCHEDULE IS VARIABLE

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