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LERTDILOK, CHANTANAROS PONGSEHIRAN       
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: CHANTANAROS LERTDILOK
4132 CATAWBA AVENUE
CARROLLTON TX 75010

Address last updated on 11/3/2013
Phone #: (972) 245-2523
Fax #:
County: NOT OKLAHOMA
License: 14572
Dated: 1/14/1984
Expires: 1/1/2016
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Mahidol Univ-Siriraj Hosp, Fac Of Med, Bangkok, Thailand
Graduated: 4 / 1970
CME Year: 2016
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 PATHOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
CHANTANAROS LERTDILOK
4132 CATAWBA AVENUE
CARROLLTON TX 75010

Phone #: (972) 245-2523
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 5:00PM
Sun: 8:00AM - 5:00PM

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