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Oklahoma Board of Medical Licensure and Supervision

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WHITE, LA TRALA GIBSON       
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: 1101 SOUTH BELMONT #106
OKMULGEE OK 74447-6315
Phone #: (918) 758-3530
Fax #:
County: OKMULGEE
License: 18270
Dated: 10/16/1992
Expires: 7/15/2003
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1989
CME Year: 2003
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1101 SOUTH BELMONT #106
OKMULGEE OK 74447-6315

Phone #: (918) 758-3530
Fax #:

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