Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
DIZOR, ROBERT PATRICK
|
|
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: |
4061 OLD PESHTIGO RD
POB 18
MARINETTE WI 54143
Address last updated on 9/2/2003 |
| Phone #: |
(715) 732-8000 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
23109 |
| Dated: |
10/28/2002 |
| Expires: |
10/1/2005 |
| 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 /
1997 |
| CME Year: |
2005 |
|
|
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: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
