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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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TREACY, BRYAN JOSEPH       
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: 11401 S WESTERN AVE
OKLAHOMA CITY OK 73170

Address last updated on 4/24/2017
Phone #: (405) 708-8572
Fax #: (405) 694-4447
County: OKLAHOMA
License: 23781
Dated: 5/20/2004
Expires: 5/1/2018
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Reproductive Endocrinology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: 5 / 1986
CME Year: 2019
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
4/3/2017 Voluntary Submittal to Jurisdiction
4/27/2016 Complaint Citation
5/16/2013 Probation
2/21/2012 Complaint Citation
Board Filings and/or Orders:
04/05/2017
04/25/2016
04/25/2016
05/16/2013
04/26/2013
11/02/2012
09/04/2012
07/20/2012
05/25/2012
02/10/2012
02/10/2012
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: None listed
Locations: Hours: Languages:
11401 S WESTERN AVE
OKLAHOMA CITY OK 73170

Phone #: (405) 708-8572
Fax #: (405) 694-4447
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 1:00PM
Sun: 8:00AM - 5:00PM

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