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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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GRIZZLE, JOHN DALE II       
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: 15800 SOUTH WESTERN AVE SUITE A
OKLAHOMA CITY OK 73170

Address last updated on 5/2/2024
Phone #: (405) 793-1300
Fax #: (405) 805-6611
County: CLEVELAND
License: 452
Dated: 5/25/1985
Expires: 3/31/1998
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
15800 SOUTH WESTERN AVE SUITE A
OKLAHOMA CITY OK 73170

Phone #: (405) 793-1300
Fax #: (405) 805-6611

Hospital Privileges:

None listed

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