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Oklahoma Board of Medical Licensure and Supervision

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HERNDON, NOEL ELWOOD       
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: 10013 LAKESHORE DRIVE
OKLAHOMA CITY OK 73120
Phone #:
Fax #:
County: OKLAHOMA
License: 6808
Dated: 6/8/1955
Expires: 6/1/1998
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1955
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/12/1992
06/26/1992
05/21/1992
11/01/1991
03/16/1991
10/26/1990
10/04/1990
08/21/1990
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
10013 LAKESHORE DRIVE
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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