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Oklahoma Board of Medical Licensure and Supervision

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LILLY, CHARLES JOSEPH       
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: 3115 E 48TH ST
TULSA OK 74105-5312

Address last updated on 12/23/1999
Phone #:
Fax #:
County: TULSA
License: 7071
Dated: 1/17/1958
Expires: 1/1/2001
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163
Graduated: / 1956
CME Year: 2001
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:
3115 E 48TH ST
TULSA OK 74105-5312

Phone #:
Fax #:

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