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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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ENNIS, GREGORY PHILIP
Practice Address: 2001 W AIRPORT FRWY
SUITE 123
IRVING TX 75062

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9650
Dated: 6/17/1972
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: / 1971
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2001 W AIRPORT FRWY
SUITE 123
IRVING TX 75062

Phone #:
Fax #:

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