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Next Update: Sunday, May 12, 2024 2:50 AM CDT
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JORDAN-WAGNER, DIANE LYNN
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| Practice Address: |
1739 NORTH 4TH STREET
TERRE HAUTE IN 47804
Address last updated on 12/6/2002 |
| Phone #: |
(812) 235-3027 x317 |
| Fax #: |
(812) 232-0930 |
| County: |
NOT OKLAHOMA |
| License: |
15644 |
| Dated: |
3/20/1986 |
| Expires: |
3/1/2006 |
| License Type: |
Medical Doctor |
| Specialty: |
Allergy & Immunology
Aerospace Medicine
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
MED COLL OF PA, PHILADELPHIA PA 19129 |
| Graduated: |
5 /
1982 |
| CME Year: |
2007 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF ALLERGY AND IMMUNOLOGY
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
CIGNA PPO |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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