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BOTTLES, KURT DONALD       
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: 909 LINN LANE
YUKON OK 73099
Phone #:
Fax #:
County: CANADIAN
License: 17375
Dated: 7/6/1990
Expires: 7/1/2001
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 3 / 1987
CME Year: 2003
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/21/1999 Probation Ended
1/10/1997 Probation
5/13/1994 Revoked License
Board Filings and/or Orders:
01/21/1999
01/10/1997
05/13/1994
03/18/1994
02/11/1994
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:
909 LINN LANE
YUKON OK 73099

Phone #:
Fax #:

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