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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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EWING, CAROL TILLOTSON       
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: 106 S. 2ND
ELLINGTON MO 63638

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 8438
Dated: 6/16/1966
Expires: 6/30/1986
License Type: Medical Doctor
Specialty: Family Medicine
Anatomic/Clinical Pathology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 6 / 1961
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PATHOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
106 S. 2ND
ELLINGTON MO 63638

Phone #:
Fax #:

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