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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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WOOTAN, GEORGE ALLEN       
Practice Address: 10802 HACHITA DRIVE
PORT RICHEY FL 34668-2753

Address last updated on 5/20/2024
Phone #: (617) 909-7523
Fax #:
County: NOT OKLAHOMA
License: 8376
Dated: 6/12/1963
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1963
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/26/2018 License Reinstated
9/11/1987 Revoked License
Board Filings and/or Orders:
08/09/2018
09/11/1987
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
10802 HACHITA DRIVE
PORT RICHEY FL 34668-2753

Phone #: (617) 909-7523
Fax #:
Mon: 8:00AM - 2:00PM
Tue:
Wed: 8:00AM - 2:00PM
Thu:
Fri: 8:00AM - 2:00PM
Sat:
Sun:

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