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FORD, RALPH AUBREY       
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: SALEM MEMORIAL HOSPITAL
HIGHWAY 72N
SALEM MO 65560

Address last updated on 9/11/2013
Phone #: (573) 729-6626
Fax #:
County: NOT OKLAHOMA
License: 19522
Dated: 8/24/1995
Expires: 8/1/2014
Training Issued: 6/23/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 8 / 1994
CME Year: 2015
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/20/2004 Restriction
4/19/2004 Complaint Citation
Board Filings and/or Orders:
05/20/2004
04/15/2004
04/15/2004
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:
SALEM MEMORIAL HOSPITAL
HIGHWAY 72N
SALEM MO 65560

Phone #: (573) 729-6626
Fax #:

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