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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MITCHELL, DAVID RAY       
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: 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 (closed 2008)
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:

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