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PETTINGER, THOMAS WILLIAMS       
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: VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE #500
EDEN PRAIRIE MN 55344

Address last updated on 6/21/2011
Phone #: (952) 595-1100
Fax #:
County: NOT OKLAHOMA
License: 24225
Dated: 3/28/2005
Expires: 3/1/2012
Temp. Lic. Issued: 10/14/2004
Temp. Lic. Expires: 5/7/2005
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
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
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 RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
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
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE #500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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