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COLEMAN, FAITH ANN       
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: 2606 NE GARDEN LANE
LAWTON OK 73507
Phone #:
Fax #:
County: COMANCHE
License: 20966
Dated: 11/12/1998
Expires: 5/11/2000
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 5 / 1985
CME Year: 2001
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/11/2000 Surrendered License
Board Filings and/or Orders:
05/03/2001
05/11/2000
05/09/2000
03/23/2000
11/12/1998
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2606 NE GARDEN LANE
LAWTON OK 73507

Phone #:
Fax #:
Not Currently Practicing
LAWTON OK 73507

Phone #:
Fax #:

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