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Oklahoma Board of Medical Licensure and Supervision

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STACY, JOHN RAYMOND       
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: 3100 NW 24TH
OKLAHOMA CITY OK 73107
Phone #:
Fax #:
County: OKLAHOMA
License: 5433
Dated: 6/17/1946
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: CASE WESTERN RESERVE UNIV SCH OF MED, CLEVELAND OH 44106
Graduated: / 1942
CME Year:
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 ORTHOPAEDIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3100 NW 24TH
OKLAHOMA CITY OK 73107

Phone #:
Fax #:

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