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DICKERSON, CHARLES WAYNE
Practice Address: No Current Practice Address
Address last updated on 12/28/2020
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14590
Dated: 1/14/1984
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1982
CME Year: 2022
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/28/1997 Probation Ended
6/25/1993 Modification Order
6/26/1992 Probation
Board Filings and/or Orders:
06/25/1993
06/26/1992
02/29/1992
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
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