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Next Update: Thursday, December 19, 2024 12:00 PM CST
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RUSSELL, GUY ROBERT
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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: |
4165 FORT DONELSON DRIVE
STOCKTON CA 95219
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18397 |
| Dated: |
6/7/1993 |
| Expires: |
6/1/1997 |
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Temp.
Lic.
Issued:
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4/29/1993 |
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Temp.
Lic.
Expires:
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6/4/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Psychoanalysis
Child and Adolescent Psychiatry |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261 |
| Graduated: |
6 /
1964 |
| CME Year: |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| 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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