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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GIFFIN, COREY WADE       
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: ST JOHN MEDICAL CENTER
1004 E BRYAN STREET
SAPULPA OK 74066

Address last updated on 11/10/2021
Phone #:
Fax #:
County: CREEK
License: 679
Dated: 9/20/2002
Expires: 9/30/2003
Temp. Ltr. Issued: 7/26/2002
Temp. Ltr. Expires: 9/21/2002
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Written agreement with conditions
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:
ST JOHN MEDICAL CENTER
1004 E BRYAN STREET
SAPULPA OK 74066

Phone #:
Fax #:

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