Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
MATSUURA, IAN MAKOTO
|
|
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: |
207 PALISADES AVE
SANTA MONICA CA 90402
Address last updated on 8/12/2015 |
| Phone #: |
(561) 706-1133 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
25936 |
| Dated: |
9/26/2007 |
| Expires: |
9/1/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology
Neuroradiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Toronto, Fac Of Med, Toronto, Ont, Canada |
| Graduated: |
6 /
1993 |
| CME Year: |
2016 |
|
|
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 - Neuroradiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
Purcell Municipal Hospital
Purcell, OK
|
|
|
|
|
Return to Search Licensees page
