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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, November 17, 2024 4:30 PM CST

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WOODWARD, MARK ALLEN       
Practice Address: Not Currently Practicing
OKLAHOMA CITY OK 73139

Address last updated on 5/22/2003
Phone #: (405) 692-9300
Fax #: (405) 691-0062
County: OKLAHOMA
License: 16107
Dated: 7/1/1987
Expires: 9/24/2004
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1986
CME Year: 2006
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/21/2005 Revoked License
9/23/2004 Suspension, License
Board Filings and/or Orders:
07/21/2005
03/31/2005
03/31/2005
09/30/2004
04/15/2004
04/15/2004
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
OKLAHOMA CITY OK 73139

Phone #: (405) 692-9300
Fax #: (405) 691-0062

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