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Oklahoma Board of Medical Licensure and Supervision

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DODSON, STEWART FAGAN       
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: ANTLERS MEDICAL SUPPLY
215 NORTH HIGH STREET
ANTLERS OK 74523-2237

Address last updated on 6/10/2014
Phone #: (580) 298-3210
Fax #:
County: PUSHMATAHA
License: 2701
Dated: 5/11/2006
Expires: 5/31/2014
Temp. Ltr. Issued: 3/16/2006
Temp. Ltr. Expires: 5/13/2006
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
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:
ANTLERS MEDICAL SUPPLY
215 NORTH HIGH STREET
ANTLERS OK 74523-2237

Phone #: (580) 298-3210
Fax #:

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