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Oklahoma Board of Medical Licensure and Supervision

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CONLEY, ROBERT LEE       
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: 700 KETCHER STREET
STILWELL OK 74136

Address last updated on 6/8/2000
Phone #: (918) 696-3587
Fax #:
County: ADAIR
License: 12219
Dated: 7/2/1979
Expires: 4/20/2003
License Type: Medical Doctor
Specialty: Psychiatry
Addiction Psychiatry
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 5 / 1978
CME Year: 2003
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/16/1995
09/09/1994
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
700 KETCHER STREET
STILWELL OK 74136

Phone #: (918) 696-3587
Fax #:

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