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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 4:19 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

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KNICKERBOCKER, FAY       
Practice Address: 700 NW 13TH STREET
OKLAHOMA CITY OK 73104
Phone #:
Fax #:
County: OKLAHOMA
License: 13481
Dated: 10/26/1962
Expires: 10/1/1998
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Clinical Pathology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Wake Forest Univ Sch of Med, Winston-Salem, NC 27157
Graduated: 6 / 1960
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.
Certifications: AMERICAN BOARD OF PATHOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
700 NW 13TH STREET
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

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