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Oklahoma Board of Medical Licensure and Supervision

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LAWRENCE, FORREST CLIFTON       
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: 1714 SE HAMPDEN ROAD
BARTLESVILLE OK 74006-7314
Phone #:
Fax #:
County: WASHINGTON
License: 5566
Dated: 4/28/1947
Expires: 4/1/2004
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: / 1943
CME Year: 2004
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1714 SE HAMPDEN ROAD
BARTLESVILLE OK 74006-7314

Phone #:
Fax #:

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