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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DEED, ELEANOR POLK
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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.
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| Practice Address: |
1203 N. BAKER
TAHLEQUAH OK 74464
Address last updated on 12/23/1999 |
| Phone #: |
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| Fax #: |
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| County: |
CHEROKEE |
| License: |
11083 |
| Dated: |
12/17/1976 |
| Expires: |
12/1/1999 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
| Graduated: |
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1956 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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