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Next Update: Thursday, December 19, 2024 12:00 PM CST
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PETTY, KENNETH GLEN
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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: |
Not Currently Practicing
CHICO CA 95926-3315
Address last updated on 5/25/2001 |
| Phone #: |
(530) 898-0504 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18506 |
| Dated: |
7/1/1993 |
| Expires: |
11/20/2003 |
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Training
Issued:
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7/16/1992 |
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Training
Expires:
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6/30/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology |
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| Status: |
Inactive |
| Status Class: |
Disciplinary Action |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
| Graduated: |
5 /
1992 |
| CME Year: |
2006 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/20/2003 |
Suspension, License |
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Board Filings and/or Orders:
12/04/2003
09/18/2003
09/18/2003
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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 NUCLEAR MEDICINE
AMERICAN BOARD OF RADIOLOGY |
| 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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