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GOLTRA, EVAN ROY JR       
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: P O BOX 25861
MCGEE TOWER, T604
OKLAHOMA CITY OK 73125-0861
Phone #:
Fax #:
County: OKLAHOMA
License: 12953
Dated: 11/25/1980
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Occupational Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 2 / 1947
CME Year:
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 PREVENTIVE MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
P O BOX 25861
MCGEE TOWER, T604
OKLAHOMA CITY OK 73125-0861

Phone #:
Fax #:

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