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Next Update: Sunday, May 12, 2024 2:50 AM CDT
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WILSON, JACQUELYN GRAVES
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| Practice Address: |
3601 S RENA DAWN LANE
EDMOND OK 73013
Address last updated on 12/23/1999 |
| Phone #: |
(405) 340-8650 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
8397 |
| Dated: |
2/28/1966 |
| Expires: |
2/1/2007 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Howard Univ Coll Of Med, Washington DC 20059 |
| Graduated: |
/
1962 |
| CME Year: |
2007 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
AMERICAN BOARD OF PEDIATRICS |
| 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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