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PETTINGER, THOMAS WILLIAMS
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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: |
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE #500
EDEN PRAIRIE MN 55344
Address last updated on 6/21/2011 |
Phone #: |
(952) 595-1100 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
24225 |
Dated: |
3/28/2005 |
Expires: |
3/1/2012 |
Temp.
Lic.
Issued:
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10/14/2004 |
Temp.
Lic.
Expires:
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5/7/2005 |
License Type: |
Medical Doctor |
Specialty: |
Diagnostic Radiology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
Graduated: |
6 /
1990 |
CME Year: |
2014 |
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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 RADIOLOGY |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Moore Medical Center
Moore, OK
Norman Regional Hospital
Norman, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
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