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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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ELLIS, JOHN WESLEY       
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: ELLIS CLINIC PC
5100 N BROOKLINE AVENUE
SUITE 465
OKLAHOMA CITY OK 73112

Address last updated on 4/12/2023
Phone #: (405) 917-5336
Fax #: (405) 917-2250
County: OKLAHOMA
License: 9024
Dated: 6/11/1969
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Legal Medicine
Family Medicine
Occupational Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1968
CME Year: 2025
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 FAMILY MEDICINE
AMERICAN BOARD OF ENVIRONMENTAL MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ELLIS CLINIC PC
5100 N BROOKLINE AVENUE
SUITE 465
OKLAHOMA CITY OK 73112

Phone #: (405) 917-5336
Fax #: (405) 917-2250
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:

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