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Oklahoma Board of Medical Licensure and Supervision

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KERBY, ALAN DURAND       
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: Not Currently Practicing
OKMULGEE OK 74447
Phone #:
Fax #:
County: OKMULGEE
License: 375
Dated: 9/20/1982
Expires: 3/31/1995
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/28/1995 Suspension, License
Board Filings and/or Orders:
01/28/1995
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
Not Currently Practicing
OKMULGEE OK 74447

Phone #:
Fax #:

Hospital Privileges:

None listed

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