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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 3:44 PM CDT
Next Update: Wednesday, May 1, 2024 2:50 AM CDT

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FAIR, ELLIS EDWIN
Practice Address: 801 JACKSON ST
PERRY OK 73077-3224
Phone #:
Fax #:
County: NOBLE
License: 5037
Dated: 8/27/1942
Expires: 8/1/1996
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1941
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: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF THORACIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
801 JACKSON ST
PERRY OK 73077-3224

Phone #:
Fax #:

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