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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JOHNSON, MATTHEW JOHN
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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: |
MGH SURGICALIST
11521 W MARKHAM ST
LITTLE ROCK AR 72211
Address last updated on 7/26/2022 |
| Phone #: |
(501) 588-1133 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
40099 |
| Dated: |
9/27/2022 |
| Expires: |
9/1/2023 |
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Temp.
Lic.
Issued:
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9/12/2022 |
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Temp.
Lic.
Expires:
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11/17/2022 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Med Coll Of Wi, Milwaukee Wi 53226 |
| Graduated: |
5 /
1990 |
| CME Year: |
2025 |
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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 SURGERY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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