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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

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MILES, WENDELL EDWARD JR       
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: Not Practicing as of 3/31/2024
Address last updated on 4/10/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 414
Dated: 10/1/1983
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Not Practicing
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/20/2001 Probation Ended
9/27/1996 Probation
6/9/1989 Revoked License
10/14/1988 Probation
Board Filings and/or Orders:
09/27/1996
09/20/1996
06/09/1989
10/14/1988
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
Not Practicing as of 3/31/2024
Phone #:
Fax #:

Hospital Privileges:

None listed

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