Search Results
Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
Return to Search Licensees page
|
RAIZEN, POLLY ANNE
|
|
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: |
15 N 9TH ST
PO BOX 1801
DUNCAN OK 73534-1801
Address last updated on 10/3/2012 |
| Phone #: |
(580) 252-3102 |
| Fax #: |
|
| County: |
STEPHENS |
| License: |
14033 |
| Dated: |
11/5/1982 |
| Expires: |
11/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
General Practice |
|
| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
New York Univ Sch Of Med, New York Ny 10016 |
| Graduated: |
6 /
1953 |
| CME Year: |
2015 |
|
|
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 PSYCHIATRY AND NEUROLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
