WITHERINGTON, BRENT VAUGHT - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

WITHERINGTON, BRENT VAUGHT

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: