WOLBOLDT, CLINTON GROVER GONZALES - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

WOLBOLDT, CLINTON GROVER GONZALES

Practice Address:	COVENANT HEALTH CARE CTR 5009 COLLEGE AVE SNYDER TX 79549 Address last updated on 5/29/2001
Phone #:	(915) 574-2488
Fax #:
County:	NOT OKLAHOMA
License:	19012
Dated:	7/1/1994
Expires:	6/1/2006
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ of Toledo Coll of Med, Toledo OH 43699
Graduated:	6 / 1990
CME Year:	2006

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:	AMERICAN BOARD OF FAMILY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
COVENANT HEALTH CARE CTR 5009 COLLEGE AVE SNYDER TX 79549 Phone #: (915) 574-2488 Fax #:		Spanish