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Oklahoma Board of Medical Licensure and Supervision

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OSTER, ELLIS       
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: 917 EAST OVERBROOK
PONCA CITY OK 74601-2189

Address last updated on 10/23/2000
Phone #:
Fax #:
County: KAY
License: 8748
Dated: 12/12/1967
Expires: 12/1/2000
License Type: Medical Doctor
Specialty: Radiology
Other Specialty
Nuclear Medicine
Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduated: / 1946
CME Year: 2000
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
05/11/2000
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
917 EAST OVERBROOK
PONCA CITY OK 74601-2189

Phone #:
Fax #:

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