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Oklahoma Board of Medical Licensure and Supervision

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KOSTIUK, STEFAN ANDRE       
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: Not Currently Practicing
OKLAHOMA CITY OK 73120
Phone #:
Fax #:
County: OKLAHOMA
License: 13231
Dated: 7/1/1981
Expires: 5/11/2001
License Type: Medical Doctor
Specialty: Family Medicine
GERIATRICS
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1980
CME Year: 2003
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/19/2001 Revoked License
5/11/2001 Suspension, License
11/21/1997 Probation
11/21/1997 Suspension, License
7/14/1995 Probation Ended
10/26/1990 Probation
6/8/1990 Suspension, License
Board Filings and/or Orders:
07/19/2001
05/11/2001
01/21/1999
11/21/1997
11/21/1997
07/14/1995
06/26/1993
02/26/1993
11/01/1991
10/26/1990
09/20/1990
06/08/1990
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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