GORDON, DAVID WALLACE - Licensee Information

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

GORDON, DAVID WALLACE

Practice Address:	No Current Practice Address Address last updated on 2/20/2013
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	617
Dated:	9/12/1992
Expires:	3/31/1999
Temp. Ltr. Issued:	8/7/1992
Temp. Ltr. Expires:	9/12/1992
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
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.

Locations:	Hours:	Languages:
No Current Practice Address Phone #: Fax #:

Hospital Privileges:

None listed

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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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