Search Results
Last Update: Thursday, May 16, 2024 9:35 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT
Return to Search Licensees page
GREEN, MICHAEL DALE
|
Practice Address: |
1616 NORTH VICTORIA PLACE
EDMOND OK 73034
|
Phone #: |
|
Fax #: |
|
County: |
OKLAHOMA |
License: |
18189 |
Dated: |
7/20/1992 |
Expires: |
7/1/1996 |
Training
Issued:
|
7/1/1992 |
Training
Expires:
|
9/12/1992 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine
Cardiovascular Disease |
|
Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
|
Registered to Dispense: |
YES |
Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
Graduated: |
5 /
1989 |
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 INTERNAL MEDICINE |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
|
|
|
Return to Search Licensees page