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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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ELLIOTT, CHARLES CALEB       
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: 1440 W BADGERLEERD
SALLISAW
SALLISAW OK 74955

Address last updated on 4/2/2013
Phone #: (918) 775-9898
Fax #: (918) 775-0454
County: SEQUOYAH
License: 7914
Dated: 6/13/1962
Expires: 6/1/2014
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1962
CME Year: 2016
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
10/16/1992
02/28/1992
11/01/1991
06/09/1991
12/28/1990
10/26/1990
08/22/1990
06/09/1990
04/13/1990
05/14/1988
04/30/1987
05/24/1985
01/18/1985
11/05/1984
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1440 W BADGERLEERD
SALLISAW
SALLISAW OK 74955

Phone #: (918) 775-9898
Fax #: (918) 775-0454

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