FOWLER, RICHARD DALE - Licensee Information

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FOWLER, RICHARD DALE

Practice Address:	MERCY MEMORIAL HOSPITAL 1011 FOURTEENTH AVENUE NORTH ARDMORE OK 73401 Address last updated on 3/15/2002
Phone #:
Fax #:
County:	CARTER
License:	2118
Dated:	3/14/2002
Expires:	3/31/2004
Temp. Ltr. Issued:	3/7/2002
Temp. Ltr. Expires:	3/16/2002
License Type:	Respiratory Care Practitioner
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:
MERCY MEMORIAL HOSPITAL 1011 FOURTEENTH AVENUE NORTH ARDMORE OK 73401 Phone #: Fax #:

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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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