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Oklahoma Board of Medical Licensure and Supervision

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CARTMELL, LARRY WAYNE       
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: 430 N MONTA VISTA
ADA OK 74820

Address last updated on 4/4/2012
Phone #: (580) 332-9599
Fax #: (580) 332-4921
County: PONTOTOC
License: 8286
Dated: 6/17/1964
Expires: 7/7/2016
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Clinical Pathology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1964
CME Year: 2019
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
Board Filings and/or Orders:
01/22/1988
09/21/1984
07/26/1984
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical)
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
430 N MONTA VISTA
ADA OK 74820

Phone #: (580) 332-9599
Fax #: (580) 332-4921

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