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CORNELIUS, DOUGLAS HUGH
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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: |
3935 ORCHARD STREET
SIOUX CITY IA 51104
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
17459 |
| Dated: |
9/1/1990 |
| Expires: |
6/30/1991 |
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Temp.
Lic.
Issued:
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8/2/1990 |
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Temp.
Lic.
Expires:
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9/15/1990 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
G WASHINGTON UNIV SCH MED & HLTH SCI, WASHINGTON DC 20037 |
| Graduated: |
5 /
1974 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 9/1/1990 |
Probation |
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Board Filings and/or Orders:
01/11/1992
09/01/1990
08/17/1990
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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 PEDIATRICS |
| 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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