FETZER, JACK DEFOREST - Licensee Information

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Last Update: Monday, April 29, 2024 2:28 PM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

FETZER, JACK DEFOREST

Practice Address:	1919 18TH P O BOX 669 WOODWARD OK 73802-0669
Phone #:
Fax #:
County:	WOODWARD
License:	6233
Dated:	1/18/1952
Expires:	1/1/2000
License Type:	Medical Doctor
Specialty:	Family Medicine General Surgery

Status:	Inactive
Status Class:	Deceased
Restricted to:
Registered to Dispense:	YES
Medical School:	Baylor Coll Of Med, Houston Tx 77030
Graduated:	/ 1948
CME Year:	2001

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:
1919 18TH P O BOX 669 WOODWARD OK 73802-0669 Phone #: Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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