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Oklahoma Board of Medical Licensure and Supervision

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GRAY, RICHARD W       
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: IMC OF OKLAHOMA
1105 MICHELIN ROAD
ARDMORE OK 73401-1085

Address last updated on 12/30/2015
Phone #: (877) 285-9139
Fax #:
County: CARTER
License: 4626
Dated: 8/29/2012
Expires: 1/31/2016
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
IMC OF OKLAHOMA
1105 MICHELIN ROAD
ARDMORE OK 73401-1085

Phone #: (877) 285-9139
Fax #:

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