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DISTEFANO, JOHN F       
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: HC 77 BOX 53A
HINTON WV 25951-9613

Address last updated on 3/3/2015
Phone #: (304) 466-0654
Fax #: (304) 466-0654
County: NOT OKLAHOMA
License: 21489
Dated: 4/13/2000
Expires: 4/1/2016
Temp. Lic. Issued: 3/17/2000
Temp. Lic. Expires: 4/13/2000
License Type: Medical Doctor
Specialty: HEMATOLOGY/ONCOLOGY
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 2 / 1974
CME Year: 2018
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hematology
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
HC 77 BOX 53A
HINTON WV 25951-9613

Phone #: (304) 466-0654
Fax #: (304) 466-0654

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