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PICKVANCE, ELIZABETH ANNE       
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: 2400 ROCKTON AVE
BUILDING 2 4TH FLOOR
ROCKFORD IL 61103

Address last updated on 1/15/2019
Phone #: (815) 971-7400
Fax #:
County: NOT OKLAHOMA
License: 24215
Dated: 2/22/2005
Expires: 2/1/2023
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 1989
CME Year: 2023
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
2400 ROCKTON AVE
BUILDING 2 4TH FLOOR
ROCKFORD IL 61103

Phone #: (815) 971-7400
Fax #:
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu:
Fri: 8:00AM - 4:00PM
Sat:
Sun:

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