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Next Update: Thursday, December 19, 2024 2:50 AM CST
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TISDALE, ALFRED DENT
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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.
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| Practice Address: |
2108 ISLAND DRIVE
MONROE LA 71201-252
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| Phone #: |
(318) 323-3767 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
16739 |
| Dated: |
11/29/1988 |
| Expires: |
11/1/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tulane Univ Sch Of Med, New Orleans La 70112 |
| Graduated: |
6 /
1958 |
| CME Year: |
2006 |
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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: |
AMERICAN BOARD OF PATHOLOGY |
| New Patients: |
No |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital Not Listed
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Hospital(s) Not In Oklahoma
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