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OLDS, TED WILLIAM       
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: UNIV OF MISSISSIPPI MED CENTER
DEPT OF RADIOLOGY
2500 N STATE ST
JACKSON MS 39216-4505
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16631
Dated: 8/3/1988
Expires: 6/30/1989
Training Issued: 6/27/1988
Training Expires: 10/20/1988
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: 6 / 1986
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIV OF MISSISSIPPI MED CENTER
DEPT OF RADIOLOGY
2500 N STATE ST
JACKSON MS 39216-4505

Phone #:
Fax #:

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