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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Wednesday, May 8, 2024 4:30 PM CDT

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JACKSON, MICHAEL RAY        View on
Practice Address: 103 N FIRST
ROCKWALL TX 75087

Address last updated on 4/5/2010
Phone #: (972) 771-5366
Fax #: (972) 771-0424
County: NOT OKLAHOMA
License: 19730
Dated: 6/3/1996
Expires: 6/1/2011
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1993
CME Year: 2013
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
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
103 N FIRST
ROCKWALL TX 75087

Phone #: (972) 771-5366
Fax #: (972) 771-0424
Mon: 8:00AM - 5:00PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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