DAVIS, WILSON LLOYD JR. - Licensee Information

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Last Update: Tuesday, November 5, 2024 1:51 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

DAVIS, WILSON LLOYD JR.

Practice Address:	FAMILY HEALTH CLINIC OF SOUTHERN OKLAHOMA 610 E. 24TH STREET TISHOMINGO OK 76034 Address last updated on 12/26/2022
Phone #:	(580) 371-2343 x3368
Fax #:	(580) 371-3170
County:	JOHNSTON
License:	34304
Dated:	1/10/2019
Expires:	1/1/2025
Temp. Lic. Issued:	11/1/2018
Temp. Lic. Expires:	1/17/2019
License Type:	Medical Doctor
Specialty:	Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated:	5 / 1978
CME Year:	2025

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 INTERNAL MEDICINE
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
FAMILY HEALTH CLINIC OF SOUTHERN OKLAHOMA 610 E. 24TH STREET TISHOMINGO OK 76034 Phone #: (580) 371-2343 x3368 Fax #: (580) 371-3170	Mon: 7:30AM - 6:00PM Tue: 7:30AM - 6:00PM Wed: 7:30AM - 6:00PM Thu: 7:30AM - 6:00PM Fri: Sat: Sun: 7:30AM - 6:00PM

Name:	Type:	License Number:
Primary Supervisees(s):
RELINDA BLACK	APRN	96629
LARRY LEON BURNS	PA	2416
RALPH TILLMAN FALCONER	PA	670
JESSICA PICKENS	APRN	96230
LINDA RICHARDSON	APRN	4266
HEATHER WORKMAN	APRN	76690