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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, November 17, 2024 12:00 PM CST

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JOHNSON, DALE GUSTAF       
Practice Address: THE OKLAHOMA CITY CLINIC
600 NATIONAL AVENUE
MIDWEST CITY OK 73110
Phone #:
Fax #:
County: OKLAHOMA
License: 17779
Dated: 7/1/1991
Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Family Medicine
Aerospace Medicine
Anesthesiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: CANADA MEDICAL SCHOOLS
Graduated: 6 / 1976
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 FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
THE OKLAHOMA CITY CLINIC
600 NATIONAL AVENUE
MIDWEST CITY OK 73110

Phone #:
Fax #:

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