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Next Update: Thursday, May 16, 2024 12:00 PM CDT

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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
Locations: Hours: Languages:
1616 NORTH VICTORIA PLACE
EDMOND OK 73034

Phone #:
Fax #:

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