MITCHELL, DAVID RAY - Licensee Information

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Last Update: Monday, July 1, 2024 3:54 AM CDT
Next Update: Monday, July 1, 2024 12:00 PM CDT

MITCHELL, DAVID RAY

Practice Address:	OKLAHOMA FORENSIC CENTER 24800 S. 4420 RD. P.O. BOX 69 VINITA OK 74301-0069 Address last updated on 4/21/2023
Phone #:	(918) 256-7841 x5590
Fax #:	(918) 256-4491
County:	CRAIG
License:	19340
Dated:	5/26/1995
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Psychiatry

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 1983
CME Year:	2025

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

9/13/2012

Probation Ended

1/29/2009

Modification Order

12/29/2008

Probation

11/6/2008

Suspension, License

4/9/2008

Complaint Citation

Board Filings and/or Orders:
09/13/2012
01/29/2009
11/06/2008
04/04/2008
04/04/2008

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:
New Patients:	Yes
Medicaid:	No
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	Eastern State Hospital Vinita, OK

Locations:	Hours:	Languages:
OKLAHOMA FORENSIC CENTER 24800 S. 4420 RD. P.O. BOX 69 VINITA OK 74301-0069 Phone #: (918) 256-7841 x5590 Fax #: (918) 256-4491	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
JASON RICHARD MORGAN	PA	2818