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BULLOCK, WILLIAM RILEY JR
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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.
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Practice Address: |
12700 FRISCO RD
YUKON OK 73099
Address last updated on 10/11/2000 |
Phone #: |
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Fax #: |
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County: |
CANADIAN |
License: |
8754 |
Dated: |
12/26/1967 |
Expires: |
12/1/2001 |
License Type: |
Medical Doctor |
Specialty: |
Cardiovascular Disease
Internal Medicine |
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Status: |
Inactive |
Status Class: |
Physician Emeritus |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599 |
Graduated: |
6 /
1958 |
CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
2/11/1996 |
Probation Ended |
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2/11/1994 |
Probation |
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Board Filings and/or Orders:
02/11/1994
12/17/1993
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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: |
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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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