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Next Update: Friday, September 27, 2024 12:00 PM CDT
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BUBOLZ, JUSTIN FREDERICK
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| Practice Address: |
101 CLOVER ROAD
HANNIBAL MO 63401
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
16425 |
| Dated: |
3/21/1988 |
| Expires: |
6/30/1993 |
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Training
Issued:
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11/30/1987 |
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Training
Expires:
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4/10/1988 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of WI Sch of Med & Public Hlth, Madison, WI |
| Graduated: |
5 /
1984 |
| 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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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