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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, May 5, 2024 2:50 AM CDT

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VALENTINE, MARK WAYNE
Practice Address: Not Currently Practicing
IDABEL OK 74745-7345

Address last updated on 2/11/2005
Phone #:
Fax #: (580) 286-3565
County: MCCURTAIN
License: 16420
Dated: 2/29/1988
Expires: 3/10/2005
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 6 / 1983
CME Year: 2008
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/10/2005 Revoked License
Board Filings and/or Orders:
03/10/2005
02/07/2005
02/07/2005
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
IDABEL OK 74745-7345

Phone #:
Fax #: (580) 286-3565
IDABEL SURGICAL CLINIC
1425 LINCOLN ROAD #B2
IDABEL OK 74745-7345

Phone #:
Fax #: (580) 286-3565

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