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DEEPWATER, Mo. – A Missouri physician has lost his state medical license after amputating a patient’s infected toe on the back porch of his rural office.

The toe in question was reportedly “gangrenous,” and the porch allegedly doubled as a machine shed, ABC News reported.

John Ure, 73, had been licensed as an osteopathic physician and surgeon since 1983, and he had been practicing in Deepwater, Missouri, at the time of the incident, KMOX reported.

The Missouri State Board of Registration for the Healing Arts officially revoked his license in June, citing three cases of Ure being “repeatedly negligent, grossly negligent and incompetent,” the TV station reported.

According to the Springfield News-Leader, Ure amputated the unidentified patient’s gangrenous toe in May 2016, in what the state considered a “non-sterile environment” because it lacked running water, restrooms or an examination table.

The board also cited Ure for improperly prescribing painkillers to two different patients, the newspaper reported.

Ure will be eligible to apply for reinstatement of his license in two years, KMOX reported.