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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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WOODWARD, MARK ALLEN       
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: 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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