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Oklahoma Board of Medical Licensure and Supervision

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PETRONE, ROBERT LOUIS       
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: DVAMC/PULMONARY DISEASE 111E
PO BOX 26901
ROOM WP1310
OKLAHOMA CITY OK 73190-0001

Address last updated on 2/4/2014
Phone #: (405) 271-6173
Fax #:
County: OKLAHOMA
License: 322
Dated: 9/22/1981
Expires: 3/31/2015
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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.
Locations: Hours: Languages:
DVAMC/PULMONARY DISEASE 111E
PO BOX 26901
ROOM WP1310
OKLAHOMA CITY OK 73190-0001

Phone #: (405) 271-6173
Fax #:

Hospital Privileges:

None listed

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