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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 5:08 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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CARLISLE, DANIEL WAYNE
Practice Address: 209 SOUTH 36TH STREET
MUSKOGEE OK 74401
Phone #: (918) 682-7717
Fax #:
County: MUSKOGEE
License: 19698
Dated: 4/22/1996
Expires: 4/1/2004
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 6 / 1991
CME Year: 2004
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 ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
209 SOUTH 36TH STREET
MUSKOGEE OK 74401

Phone #: (918) 682-7717
Fax #:

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