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JOHNSON, CHARLES RONALD       
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: 1621 SURRY DR
STILLWATER OK 74074-1851

Address last updated on 12/23/1999
Phone #:
Fax #:
County: PAYNE
License: 10735
Dated: 12/15/1975
Expires: 6/30/1994
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Chicago Med Sch at Rosalin Franklin Univ of Med & Sci, North Chicago, IL
Graduated: / 1953
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1621 SURRY DR
STILLWATER OK 74074-1851

Phone #:
Fax #:

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