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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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MACISAAC, GREGORY FRANCIS
Practice Address: 763 TUSCAWILLA HILLS
CHARLESTOWN WV 25414
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20212
Dated: 9/11/1997
Expires: 9/1/2000
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: CANADA MEDICAL SCHOOLS
Graduated: 6 / 1986
CME Year: 2000
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
763 TUSCAWILLA HILLS
CHARLESTOWN WV 25414

Phone #:
Fax #:

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