LONG, LEROY III - Licensee Information

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Last Update: Monday, May 20, 2024 7:03 PM CDT
Next Update: Tuesday, May 21, 2024 2:50 AM CDT

LONG, LEROY III

Practice Address:	1413 CANTERBURY PLACE OKLAHOMA CITY OK 73116-5501
Phone #:
Fax #:
County:	OKLAHOMA
License:	6897
Dated:	8/9/1956
Expires:	8/1/1998
License Type:	Medical Doctor
Specialty:	General Surgery

Status:	Inactive
Status Class:	Deceased
Restricted to:
Registered to Dispense:	YES
Medical School:	Harvard Med Sch, Boston Ma 02115
Graduated:	/ 1955
CME Year:

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:	AMERICAN BOARD OF SURGERY
New Patients:	No
Medicaid:	No
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
1413 CANTERBURY PLACE OKLAHOMA CITY OK 73116-5501 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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