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Oklahoma Board of Medical Licensure and Supervision

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PICKETT, ROGER LEE       
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: Not Currently Practicing
OKLAHOMA CITY OK 73132--5727

Address last updated on 12/23/1999
Phone #: (405) 721-0440
Fax #: (405) 948-6507
County: OKLAHOMA
License: 8166
Dated: 10/5/1964
Expires: 7/24/2003
License Type: Medical Doctor
Specialty: Anesthesiology
Other Specialty
HYPNOSIS
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 6 / 1958
CME Year: 2003
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/22/2005 Surrendered License
7/24/2003 Suspension, License
6/26/1997 Probation Ended
6/26/1992 Probation
Board Filings and/or Orders:
09/22/2005
07/24/2003
07/18/2003
07/18/2003
06/05/2003
06/05/2003
06/26/1992
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
OKLAHOMA CITY OK 73132--5727

Phone #: (405) 721-0440
Fax #: (405) 948-6507

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