Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
GRIGORYEV, LEONID MARK
|
|
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: |
PO BOX 6597
LAWTON OK 73506-6597
|
| Phone #: |
|
| Fax #: |
|
| County: |
COMANCHE |
| License: |
17532 |
| Dated: |
11/14/1990 |
| Expires: |
11/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Physical Medicine & Rehabilitation |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
RUSSIAN MEDICAL SCHOOLS |
| Graduated: |
6 /
1976 |
| CME Year: |
|
|
|
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 PHYSICAL MEDICINE/REHABILITATION |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
