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Oklahoma Board of Medical Licensure and Supervision

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BROWNELL, ROBERT BOUCHER       
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: GOOD SHEPHERD CLINIC
2130 W OKMULGEE
MUSKOGEE OK 74401

Address last updated on 10/25/2004
Phone #: (918) 683-8080
Fax #:
County: MUSKOGEE
License: 10
Dated: 9/2/2004
Expires: 9/1/2016
License Type: Medical Doctor Volunteer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2100
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.
Locations: Hours: Languages:
GOOD SHEPHERD CLINIC
2130 W OKMULGEE
MUSKOGEE OK 74401

Phone #: (918) 683-8080
Fax #:

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