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Oklahoma Board of Medical Licensure and Supervision

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DICKERSON, WILLIAM RAY       
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: JOHNSTON MEMORIAL HOSPITAL
1000 SOUTH BOYD
TISHOMINGO OK 73460

Address last updated on 2/2/2000
Phone #:
Fax #:
County: JOHNSTON
License: 894
Dated: 1/11/1996
Expires: 1/31/2004
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
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:
JOHNSTON MEMORIAL HOSPITAL
1000 SOUTH BOYD
TISHOMINGO OK 73460

Phone #:
Fax #:

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