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LEATHERMAN, DOUGLAS DOYN
Practice Address: 3606 BLAND DRIVE
ENID OK 73703

Address last updated on 12/23/1999
Phone #:
Fax #:
County: GARFIELD
License: 7303
Dated: 6/3/1959
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Retired
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1958
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/15/1987 Probation Ended
1/7/1983 Probation
1/7/1983 Suspension, License
Board Filings and/or Orders:
01/15/1987
01/07/1983
08/16/1982
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:
3606 BLAND DRIVE
ENID OK 73703

Phone #:
Fax #:

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