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Oklahoma Board of Medical Licensure and Supervision

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SMITH, CARL ROY       
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: 211 SILVER
HARRAH OK 73045

Address last updated on 12/23/1999
Phone #:
Fax #:
County: OKLAHOMA
License: 7402
Dated: 6/3/1959
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Psychiatry
Ophthalmology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1959
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
01/11/1992
02/02/1990
08/30/1976
05/19/1976
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
211 SILVER
HARRAH OK 73045

Phone #:
Fax #:

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