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Oklahoma Board of Medical Licensure and Supervision

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FOWLER, RICHARD DALE       
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: MERCY MEMORIAL HOSPITAL
1011 FOURTEENTH AVENUE NORTH
ARDMORE OK 73401

Address last updated on 3/15/2002
Phone #:
Fax #:
County: CARTER
License: 2118
Dated: 3/14/2002
Expires: 3/31/2004
Temp. Ltr. Issued: 3/7/2002
Temp. Ltr. Expires: 3/16/2002
License Type: Respiratory Care Practitioner
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:
MERCY MEMORIAL HOSPITAL
1011 FOURTEENTH AVENUE NORTH
ARDMORE OK 73401

Phone #:
Fax #:

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