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Oklahoma Board of Medical Licensure and Supervision

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CLARK, SEAN RAYMOND       
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: MEMORIAL HOSPITAL OF TEXAS COUNTY
520 MEDICAL DRIVE
GUYMON OK 73942

Address last updated on 9/22/2005
Phone #: (580) 338-6515
Fax #:
County: TEXAS
License: 874
Dated: 9/22/2005
Expires: 9/30/2006
Temp. Ltr. Issued: 8/11/2005
Temp. Ltr. Expires: 9/22/2005
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Written agreement with conditions
CME Year: 0
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:
MEMORIAL HOSPITAL OF TEXAS COUNTY
520 MEDICAL DRIVE
GUYMON OK 73942

Phone #: (580) 338-6515
Fax #:

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