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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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LOPEZ COSTA, RODRIGO IGNACIO       
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: CLINICAL RADIOLOGISTS
3 GINGER CREEK VILLAGE DRIVE
GLEN CARBON IL 62034

Address last updated on 7/1/2024
Phone #: (217) 726-8096
Fax #:
County: NOT OKLAHOMA
License: 44075
Dated: 10/4/2024
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Pontificia Univ Catol De Chile, Fac De Med, Santiago, Chile
Graduated: 1 / 2006
CME Year: 2027
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: None listed
Locations: Hours: Languages:
CLINICAL RADIOLOGISTS
3 GINGER CREEK VILLAGE DRIVE
GLEN CARBON IL 62034

Phone #: (217) 726-8096
Fax #:

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