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Next Update: Thursday, December 19, 2024 12:00 PM CST
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LUTAN, ROBERT GOODWIN
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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: |
34 FAIRMOUNT
ALTON IL 62002
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
16764 |
| Dated: |
1/12/1989 |
| Expires: |
6/30/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Internal Medicine
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ of TX at San Antonio, UTSA Long School of Medicine |
| Graduated: |
5 /
1981 |
| 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: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| 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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