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DAVIS, JOHN T.       
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: MEMORIAL MEDICAL GROUP
3201 WEST GORE BLVD
LAWTON OK 73505

Address last updated on 3/14/2013
Phone #: (580) 250-6659
Fax #:
County: COMANCHE
License: 2049
Dated: 2/1/2012
Expires: 3/31/2014
Temp. Ltr. Issued: 11/3/2011
Temp. Ltr. Expires: 5/18/2012
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
MEMORIAL MEDICAL GROUP
3201 WEST GORE BLVD
LAWTON OK 73505

Phone #: (580) 250-6659
Fax #:

Hospital Privileges:

None listed

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