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MCDONALD, JOHN RUSSELL       
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: 1178 BLUFF LAKE DRIVE
EAST PEORIA IL 61611
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18455
Dated: 7/1/1993
Expires: 7/1/1998
Training Issued: 6/26/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduated: 5 / 1992
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:
1178 BLUFF LAKE DRIVE
EAST PEORIA IL 61611

Phone #:
Fax #:

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