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Oklahoma Board of Medical Licensure and Supervision

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SMITH, COURTLAND PRENTICE JR       
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: GRAND LAKE MEDICAL PARK
26300 SOUTH HWY. 125
AFTON OK 74331

Address last updated on 5/19/2016
Phone #: (918) 257-8585
Fax #: (918) 257-8560
County: OTTAWA
License: 25369
Dated: 6/7/2007
Expires: 6/1/2017
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 6 / 1968
CME Year: 2019
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OTOLARYNGOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital Vinita (fmly Craig General Hospital)
Vinita, OK
Locations: Hours: Languages:
GRAND LAKE MEDICAL PARK
26300 SOUTH HWY. 125
AFTON OK 74331

Phone #: (918) 257-8585
Fax #: (918) 257-8560
Mon:
Tue:
Wed: 9:00AM - 3:00PM
Thu:
Fri:
Sat:
Sun:

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