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Oklahoma Board of Medical Licensure and Supervision

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MOORE, GEORGE CLIFFORD       
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: 425 FAIRVIEW, #1
PONCA CITY OK 74601

Address last updated on 12/23/1999
Phone #:
Fax #:
County: KAY
License: 8400
Dated: 3/4/1966
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1962
CME Year:
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:
425 FAIRVIEW, #1
PONCA CITY OK 74601

Phone #:
Fax #:

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