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Next Update: Thursday, December 19, 2024 2:50 AM CST
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MAY, JUNE CAROLYNN
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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: |
6208 WATERFORD BLVD
SUITE 87
OKLAHOMA CITY OK 73118
Address last updated on 5/20/2010 |
| Phone #: |
(405) 848-3424 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
7822 |
| Dated: |
6/1/1961 |
| Expires: |
6/1/2011 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
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1961 |
| CME Year: |
2013 |
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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: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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