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Oklahoma Board of Medical Licensure and Supervision

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DOVE, RICHARD ALLEN       
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: 2112 N 11TH
MCALESTER OK 74501
Phone #:
Fax #:
County: PITTSBURG
License: 643
Dated: 7/22/1993
Expires: 3/31/1999
Temp. Ltr. Issued: 2/4/1993
Temp. Ltr. Expires: 6/26/1993
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:
2112 N 11TH
MCALESTER OK 74501

Phone #:
Fax #:

Hospital Privileges:

None listed

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