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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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FULLERTON, JACOB DOUGLAS
Practice Address: MERCY HOSPITAL
4300 W. MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 12/7/2022
Phone #: (405) 755-1515
Fax #:
County: OKLAHOMA
License: 1274
Dated: 6/24/2010
Expires: 12/31/2010
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
MERCY HOSPITAL
4300 W. MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1515
Fax #:

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