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Oklahoma Board of Medical Licensure and Supervision

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ROARK, KENNETH DAVID       
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: PARK VIEW HOSPITAL
PO BOX 129
EL RENO OK 73036-0129
Phone #: (405) 262-2640
Fax #:
County: CANADIAN
License: 324
Dated: 9/22/1981
Expires: 3/31/2003
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
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.
Locations: Hours: Languages:
PARK VIEW HOSPITAL
PO BOX 129
EL RENO OK 73036-0129

Phone #: (405) 262-2640
Fax #:

Hospital Privileges:

None listed

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