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WITHERINGTON, BRENT VAUGHT       
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: LEE CREEK MEDICAL CLINIC
2330 DORA ROAD SUITE A
VAN BUREN AR 72956

Address last updated on 10/2/2014
Phone #: (501) 680-8963
Fax #:
County: NOT OKLAHOMA
License: 29564
Dated: 12/17/2012
Expires: 12/1/2015
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2004
CME Year: 2015
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LEE CREEK MEDICAL CLINIC
2330 DORA ROAD SUITE A
VAN BUREN AR 72956

Phone #: (501) 680-8963
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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