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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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MATLOCK, MARK STEPHEN
Practice Address: 2829 S JACKSON AVENUE
JOPLIN MO 64804

Address last updated on 6/4/2001
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14296
Dated: 7/1/1983
Expires: 7/1/2002
License Type: Medical Doctor
Specialty: Dermatology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1982
CME Year: 2003
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 DERMATOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2829 S JACKSON AVENUE
JOPLIN MO 64804

Phone #:
Fax #:

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