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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST

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FOSSEY, MARK DOUGLAS       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: No Current Practice Address
Address last updated on 6/28/2019
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 11793
Dated: 7/1/1978
Expires: 7/1/2019
License Type: Medical Doctor
Specialty: Psychiatry
Addiction Psychiatry
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1977
CME Year: 2021
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/5/2020 Reprimand
11/15/2019 Complaint Citation
Board Filings and/or Orders:
03/05/2020
11/15/2019
11/15/2019
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-Muskogee
Muskogee, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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