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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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MOORE, GARY MEDFORD       
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: 1226 N. E. 59TH ST.
OKLAHOMA CITY OK 73111-7404

Address last updated on 4/5/2007
Phone #: (405) 478-2840
Fax #: (405) 478-2840
County: OKLAHOMA
License: 9057
Dated: 6/11/1969
Expires: 6/1/2008
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1968
CME Year: 2010
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:
01/15/1987
01/15/1982
01/23/1981
12/17/1980
11/30/1979
07/18/1979
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:
1226 N. E. 59TH ST.
OKLAHOMA CITY OK 73111-7404

Phone #: (405) 478-2840
Fax #: (405) 478-2840

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