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ROTHENBERG, BENNETT CHARLES       
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: 6325 NORTH VILLA AVENUE APT123
OKLAHOMA CITY OK 73112
Phone #:
Fax #:
County: OKLAHOMA
License: 17775
Dated: 7/1/1991
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: General Surgery
Plastic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Howard Univ Coll Of Med, Washington DC 20059
Graduated: 5 / 1986
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6325 NORTH VILLA AVENUE APT123
OKLAHOMA CITY OK 73112

Phone #:
Fax #:

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