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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, March 22, 2019 1:31 PM CDT
Next Update: Friday, March 22, 2019 4:30 PM CDT

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TREACY, BRYAN JOSEPH
Practice Address: 11401 S WESTERN AVE
OKLAHOMA CITY OK 73170

Address last updated on 4/24/2017
Phone #: (405) 708-8572
Fax #: (405) 694-4447
County: OKLAHOMA
License: 23781
Dated: 5/20/2004
Expires: 5/1/2018
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Reproductive Endocrinology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: 5 / 1986
CME Year: 2019
Disciplinary History:
Date Action Reasons Remarks
4/3/2017 Voluntary Submittal to Jurisdiction Placed on 5 year probation
4/27/2016 Complaint Citation CDS Violation
Violated Board Order
Action taken by other state
5/16/2013 Probation Sexual Misconduct 5 Year Probation
2/21/2012 Complaint Citation Sexual Misconduct
Board Orders:
04/05/2017
04/25/2016
04/25/2016
05/16/2013
04/26/2013
11/02/2012
09/04/2012
07/20/2012
05/25/2012
02/10/2012
02/10/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
11401 S WESTERN AVE
OKLAHOMA CITY OK 73170

Phone #: (405) 708-8572
Fax #: (405) 694-4447
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 1:00PM
Sun: 8:00AM - 5:00PM

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