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Next Update: Thursday, December 19, 2024 12:00 PM CST
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ROBERTS, KENT THAYNE
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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: |
MESA GENERAL HOSPITAL
515 NORTH MESA DR.
MESA AZ 85201
Address last updated on 1/22/2009 |
| Phone #: |
(480) 969-9111 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
17598 |
| Dated: |
3/16/1991 |
| Expires: |
9/1/2009 |
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Temp.
Lic.
Issued:
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2/28/1991 |
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Temp.
Lic.
Expires:
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3/30/1991 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
5 /
1977 |
| CME Year: |
2010 |
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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 RADIOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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