Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, May 16, 2024 4:03 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT

Return to Search Licensees page

GREEN, BURDGE FREEMAN       
Practice Address: PHYSICIANS CLINIC
1401 WEST LOCUST #102
STILWELL OK 74960-0272

Address last updated on 5/26/2011
Phone #: (918) 696-4065
Fax #:
County: ADAIR
License: 5996
Dated: 6/7/1950
Expires: 6/1/2012
License Type: Medical Doctor
Specialty: General Practice
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Western Ontario, Fac Of Med, London, Ont, Canada
Graduated: / 1947
CME Year: 2013
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PHYSICIANS CLINIC
1401 WEST LOCUST #102
STILWELL OK 74960-0272

Phone #: (918) 696-4065
Fax #:

Return to Search Licensees page