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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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ALEXANDER, JACK OWEN       
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: RT.1 BOX 315
AFTON OK 74331
Phone #:
Fax #:
County: OTTAWA
License: 6402
Dated: 6/15/1953
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: / 1946
CME Year:
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RT.1 BOX 315
AFTON OK 74331

Phone #:
Fax #:

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