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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, January 19, 2018 4:22 AM CST
Next Update: Friday, January 19, 2018 12:00 PM CST

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GREEN, DAVID L
Practice Address: 2400 W. BROADWAY
MUSKOGEE OK 74401-2763

Address last updated on 6/10/2003
Phone #: (918) 687-5171
Fax #:
County: MUSKOGEE
License: 128
Dated: 9/22/1975
Expires: 6/30/2011
License Type: Podiatrist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History:
Past disciplinary action(s) on file. Contact Board for more details.
Board Orders:
Past board order(s) on file. Contact Board for more details.
Hospital Privileges: None listed
Locations: Hours: Languages:
2400 W. BROADWAY
MUSKOGEE OK 74401-2763

Phone #: (918) 687-5171
Fax #:

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