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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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GREEN, BURDGE FREEMAN       
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: PHYSICIANS CLINIC
1401 WEST LOCUST #102
STILWELL OK 74960-0272

Address last updated on 5/26/2011
Phone #: (918) 696-4065
Fax #:
County: ADAIR
License: 5996
Dated: 6/7/1950
Expires: 6/1/2012
License Type: Medical Doctor
Specialty: General Practice
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Western Ontario, Fac Of Med, London, Ont, Canada
Graduated: / 1947
CME Year: 2013
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:
PHYSICIANS CLINIC
1401 WEST LOCUST #102
STILWELL OK 74960-0272

Phone #: (918) 696-4065
Fax #:

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