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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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GAINES, GRANT M
Practice Address: 3380 N FUTRALL DRIVE 1
FAYETTEVILLE AR 727034057

Address last updated on 3/26/2020
Phone #: (479) 442-7322
Fax #:
County: NOT OKLAHOMA
License: 35738
Dated: 3/26/2020
Expires: 6/13/2020
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2023
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:
3380 N FUTRALL DRIVE 1
FAYETTEVILLE AR 727034057

Phone #: (479) 442-7322
Fax #:

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