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SIMMONS, MICHAEL       
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: 1026 N. HIGHWAY 69
FRONTENAC KS 66763

Address last updated on 1/2/2019
Phone #: (620) 231-9669
Fax #: (620) 231-4585
County: NOT OKLAHOMA
License: 33164
Dated: 1/11/2018
Expires: 1/1/2020
License Type: Medical Doctor
Specialty: General Preventive Medicine
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 12 / 1991
CME Year: 2021
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
8/1/2019 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
01/16/2020
08/01/2019
08/01/2019
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1026 N. HIGHWAY 69
FRONTENAC KS 66763

Phone #: (620) 231-9669
Fax #: (620) 231-4585

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