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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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WOOTAN, GEORGE ALLEN       
Practice Address: 10802 HACHITA DRIVE
PORT RICHEY FL 34668-2753

Address last updated on 6/23/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 8376
Dated: 6/12/1963
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
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 / 1963
CME Year: 2024
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/26/2018 License Reinstated
9/11/1987 Revoked License
Board Filings and/or Orders:
08/09/2018
09/11/1987
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
10802 HACHITA DRIVE
PORT RICHEY FL 34668-2753

Phone #:
Fax #:
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