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Oklahoma Board of Medical Licensure and Supervision

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GORDON, DANIEL BERNARD       
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: 1285 N STATE
RT 2
NEW MARTINSVILLE WV 26155
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16357
Dated: 11/13/1987
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Radiology
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:
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 RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1285 N STATE
RT 2
NEW MARTINSVILLE WV 26155

Phone #:
Fax #:

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