Search Results
Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
Return to Search Licensees page
|
RALSTON, THOMAS MICHAEL
|
|
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: |
14235 RIDGEMONT DRIVE
URBANDALE IA 50323
Address last updated on 11/18/2013 |
| Phone #: |
(515) 221-2339 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
25813 |
| Dated: |
9/26/2007 |
| Expires: |
9/1/2013 |
|
Temp.
Lic.
Issued:
|
9/13/2007 |
|
Temp.
Lic.
Expires:
|
11/3/2007 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
CREIGHTON UNIV SCH OF MED, OMAHA NE 68178 |
| Graduated: |
5 /
1978 |
| CME Year: |
2013 |
|
|
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: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Duncan Regional Hospital
Duncan, OK
Northwest Surgical Hospital
Oklahoma City, OK
Share Medical Center
Alva, OK
|
|
|
|
|
Return to Search Licensees page
