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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 4:04 AM CDT
Next Update: Wednesday, May 15, 2024 12:00 PM CDT

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ROBERTS, CLARENCE ROCHELLE JR       
Practice Address: 620 S. MADISON ST., #202
ENID OK 73701-7270

Address last updated on 12/23/1999
Phone #:
Fax #:
County: GARFIELD
License: 7039
Dated: 6/6/1956
Expires: 8/26/2010
License Type: Medical Doctor
Specialty: Family Medicine
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1956
CME Year: 2001
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
01/25/2001
11/30/2000
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:
620 S. MADISON ST., #202
ENID OK 73701-7270

Phone #:
Fax #:

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