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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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DY-LIACCO, MARK
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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: |
1042 FREDERICK ST APT E
VENICE CA 90291-6513
Address last updated on 5/27/2024 |
| Phone #: |
(312) 636-5315 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18620 |
| Dated: |
7/30/1993 |
| Expires: |
7/1/2025 |
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Training
Issued:
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5/20/1993 |
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Training
Expires:
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6/30/1994 |
| License Type: |
Medical Doctor |
| Specialty: |
Transplant Surgery
Surgical Critical Care (Surgery)
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Med Coll Of Wi, Milwaukee Wi 53226 |
| Graduated: |
5 /
1992 |
| CME Year: |
2027 |
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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 SURGERY
AMERICAN BOARD OF SURGERY - Surgical Critical Care |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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