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DORT, JONATHAN MATTHEW       
Practice Address: CARILION ROANOKE MEMORIAL HOSPITAL
MEDICAL EDUCATION BLDG ROOM 332
1906 BELLEVIEW AVENUE
ROANOKE VA 24014

Address last updated on 6/25/2009
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 25578
Dated: 10/1/2007
Expires: 10/1/2009
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: U of Miami L M Miller, SOM, Miami, FL 33101
Graduated: 5 / 1988
CME Year: 2010
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CARILION ROANOKE MEMORIAL HOSPITAL
MEDICAL EDUCATION BLDG ROOM 332
1906 BELLEVIEW AVENUE
ROANOKE VA 24014

Phone #:
Fax #:

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