ELLIS, JOHN WESLEY - Licensee Information

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

ELLIS, JOHN WESLEY

Practice Address:	ELLIS CLINIC PC 5100 N BROOKLINE AVENUE SUITE 465 OKLAHOMA CITY OK 73112 Address last updated on 4/12/2023
Phone #:	(405) 917-5336
Fax #:	(405) 917-2250
County:	OKLAHOMA
License:	9024
Dated:	6/11/1969
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Legal Medicine Family Medicine Occupational Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	/ 1968
CME Year:	2025

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:	AMERICAN BOARD OF FAMILY MEDICINE AMERICAN BOARD OF ENVIRONMENTAL MEDICINE
New Patients:	Yes
Medicaid:	No
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
ELLIS CLINIC PC 5100 N BROOKLINE AVENUE SUITE 465 OKLAHOMA CITY OK 73112 Phone #: (405) 917-5336 Fax #: (405) 917-2250	Mon: 9:00AM - 5:00PM Tue: 9:00AM - 5:00PM Wed: 9:00AM - 5:00PM Thu: 9:00AM - 5:00PM Fri: 9:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
NICHOLE V MOSER	PA	4474