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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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THIESSEN, HAROLD DEAN       
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: 1100 N MUSTANG RD
PEACHTREE HEALTH CENTER
MUSTANG OK 73064-7200
Address last updated on 12/23/1999
Phone #: (405) 376-9728
Fax #:
County: CANADIAN
License: 7787
Dated: 6/1/1961
Expires: 7/26/2004
License Type: Medical Doctor
Specialty: General Practice
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1961
CME Year: 2007
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/16/1987
09/27/1985
09/17/1982
05/15/1982
03/29/1982
04/23/1979
11/25/1977
10/17/1977
09/10/1977
02/07/1977
12/29/1976
06/19/1975
06/19/1970
04/29/1970
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1100 N MUSTANG RD
PEACHTREE HEALTH CENTER
MUSTANG OK 73064-7200
Phone #: (405) 376-9728
Fax #:

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