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JACKSON, DAVID ROY       
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: INTEGRIS CANADIAN VALLEY REG HOSPITAL
1201 HEALTH CENTER PARKWAY
YUKON OK 73099-6381

Address last updated on 8/16/2002
Phone #: (405) 717-6828
Fax #:
County: CANADIAN
License: 1178
Dated: 9/23/1996
Expires: 1/31/2007
Temp. Ltr. Issued: 7/5/1996
Temp. Ltr. Expires: 9/27/1996
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Deceased
Restricted to:
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.
Locations: Hours: Languages:
INTEGRIS CANADIAN VALLEY REG HOSPITAL
1201 HEALTH CENTER PARKWAY
YUKON OK 73099-6381

Phone #: (405) 717-6828
Fax #:

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