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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 11:28 AM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

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JACKSON, CHARLES DAVID
Practice Address: 3380 N FUTRALL DR 1
FAYETTEVILLE AR 72703-4057

Address last updated on 3/27/2020
Phone #: (479) 442-7322
Fax #:
County: NOT OKLAHOMA
License: 35754
Dated: 3/27/2020
Expires: 6/13/2020
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2023
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3380 N FUTRALL DR 1
FAYETTEVILLE AR 72703-4057

Phone #: (479) 442-7322
Fax #:

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