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AVERY, ALFRED ESTIN
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Practice Address: |
HILLCREST MEDICAL GROUP
1245 S UTICA AVE
TULSA OK 74104
Address last updated on 5/22/2007 |
Phone #: |
(918) 560-3825 |
Fax #: |
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County: |
TULSA |
License: |
22650 |
Dated: |
3/25/2002 |
Expires: |
3/1/2003 |
Temp.
Lic.
Issued:
|
12/20/2001 |
Temp.
Lic.
Expires:
|
5/11/2002 |
License Type: |
Medical Doctor |
Specialty: |
Neurology
Palliative Medicine
Other Specialty |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
Graduated: |
5 /
1984 |
CME Year: |
2005 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
11/20/2003 |
Revoked License |
|
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Board Filings and/or Orders:
11/26/2003
02/21/2003
02/21/2003
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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: |
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New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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