Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

LOSACCO, DOMINIC       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 6565 SOUTH YALE
SUITE 706
TULSA OK 74136-8308

Address last updated on 2/5/2018
Phone #: (918) 491-5767
Fax #: (918) 491-5771
County: TULSA
License: 10161
Dated: 4/15/1974
Expires: 10/1/2019
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: / 1967
CME Year: 2022
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/12/2019 Surrendered License effective October 1, 2019
7/11/2019 Amended Complaint
2/19/2019 Complaint Citation
Board Filings and/or Orders:
09/12/2019
07/11/2019
02/19/2019
02/19/2019
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Laureate Psychiatric Clinic and Hosp.
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
6565 SOUTH YALE
SUITE 706
TULSA OK 74136-8308

Phone #: (918) 491-5767
Fax #: (918) 491-5771
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 9:00AM - 0:00PM

Return to Search Licensees page