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Oklahoma Board of Medical Licensure and Supervision

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GRIFFIN, CARL PATRICK       
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: 3555 NW 58TH STREET
SUITE 801
OKC OK 73112-4722

Address last updated on 5/10/2023
Phone #: (405) 602-3939 x203
Fax #: (405) 602-3940
County: OKLAHOMA
License: 16969
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 6/20/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1988
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/20/2006 Probation Ended
5/20/2004 Probation
5/9/2002 Restriction
Board Filings and/or Orders:
05/27/2004
03/27/2003
05/09/2002
02/13/2002
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3555 NW 58TH STREET
SUITE 801
OKC OK 73112-4722

Phone #: (405) 602-3939 x203
Fax #: (405) 602-3940
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

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