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Oklahoma Board of Medical Licensure and Supervision

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ROBERTS, IFOR JOHN WYNN       
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: MEDICAL CLINIC
MOUNTAIN VIEW OK 73062
Phone #:
Fax #:
County: KIOWA
License: 18308
Dated: 1/8/1993
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: SCOTLAND MEDICAL SCHOOLS
Graduated: 7 / 1966
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MEDICAL CLINIC
MOUNTAIN VIEW OK 73062

Phone #:
Fax #:

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