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Last Update: Friday, May 17, 2024 4:03 AM CDT
Next Update: Friday, May 17, 2024 12:00 PM CDT
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MCLEOD, WALLACE BEVERLY III
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| Practice Address: |
2216 M L KING BLVD #D
OKLAHOMA CITY OK 73111-2436
Address last updated on 8/26/2022 |
| Phone #: |
(405) 424-0111 |
| Fax #: |
(405) 424-0115 |
| County: |
OKLAHOMA |
| License: |
15393 |
| Dated: |
9/9/1985 |
| Expires: |
9/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1979 |
| CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 5/12/2024 |
Voluntary Submittal to Jurisdiction Ended |
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| 5/12/2022 |
Voluntary Submittal to Jurisdiction |
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| 1/25/2022 |
Complaint Citation |
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Board Filings and/or Orders:
05/12/2022
01/25/2022
01/25/2022
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
ABPS - Family Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Medical Center
Oklahoma City, OK
St. Anthony Hospital (SSM Health)
Oklahoma City, OK
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