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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JUDGE, RICKY LYNN
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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: |
PATHOLOGY DEPT
1 CLARK BASS BLVD
MCALESTER OK 74501
Address last updated on 7/12/2012 |
| Phone #: |
(918) 421-8164 |
| Fax #: |
(918) 421-6223 |
| County: |
PITTSBURG |
| License: |
17491 |
| Dated: |
9/27/1990 |
| Expires: |
9/1/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
6 /
1983 |
| CME Year: |
2015 |
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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: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
McAlester Regional Health Center
McAlester, OK
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