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WILTON, SUSAN ROTH       
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: PHOENIXVILLE EYE CARE SPECIALISTS P.C>
720 SOUTH MAIN STREET
PHOENIXVILLE PA 19460

Address last updated on 6/29/2018
Phone #: (610) 933-3498
Fax #: (610) 933-5052
County: NOT OKLAHOMA
License: 17376
Dated: 7/6/1990
Expires: 7/1/2019
Training Issued: 6/21/1990
Training Expires: 9/1/1990
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: MED COLL OF PA, PHILADELPHIA PA 19129
Graduated: 5 / 1989
CME Year: 2021
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: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PHOENIXVILLE EYE CARE SPECIALISTS P.C>
720 SOUTH MAIN STREET
PHOENIXVILLE PA 19460

Phone #: (610) 933-3498
Fax #: (610) 933-5052
Mon:
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