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GRISHAM, FELICIA JOHNSON       
Practice Address: 504 OLD BUGLE ROAD
EDMOND OK 73003
Phone #:
Fax #:
County: OKLAHOMA
License: 20845
Dated: 7/30/1998
Expires: 7/1/2002
Training Issued: 7/1/1997
Training Expires: 8/1/1998
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 1997
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
504 OLD BUGLE ROAD
EDMOND OK 73003

Phone #:
Fax #:

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