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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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WILSON, JACQUELYN GRAVES
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Practice Address: |
3601 S RENA DAWN LANE
EDMOND OK 73013
Address last updated on 12/23/1999 |
Phone #: |
(405) 340-8650 |
Fax #: |
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County: |
OKLAHOMA |
License: |
8397 |
Dated: |
2/28/1966 |
Expires: |
2/1/2007 |
License Type: |
Medical Doctor |
Specialty: |
Pediatrics |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Howard Univ Coll Of Med, Washington DC 20059 |
Graduated: |
/
1962 |
CME Year: |
2007 |
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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: |
AMERICAN BOARD OF PEDIATRICS |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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