Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

POWELL, JACK DEAN       
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: E.A. CONWAY MEDICAL CENTER
PO BOX 1881
MONROE LA 71210-1881

Address last updated on 12/23/1999
Phone #: (318) 330-7635
Fax #:
County: NOT OKLAHOMA
License: 7789
Dated: 6/1/1961
Expires: 5/3/2002
License Type: Medical Doctor
Specialty: Internal Medicine
Cardiovascular Disease
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1961
CME Year: 2004
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 FAMILY MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
E.A. CONWAY MEDICAL CENTER
PO BOX 1881
MONROE LA 71210-1881

Phone #: (318) 330-7635
Fax #:

Return to Search Licensees page