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ZUJKO, RICHARD DAVID        View on
Practice Address: 2138 N KANSAS AVE
LIBERAL KS 67901-2012

Address last updated on 1/25/2002
Phone #: (620) 624-8360
Fax #:
County: NOT OKLAHOMA
License: 17580
Dated: 2/1/1991
Expires: 2/1/2004
Temp. Lic. Issued: 11/1/1990
Temp. Lic. Expires: 3/1/1992
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 5 / 1969
CME Year: 2004
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/29/2004 Revoked License
Board Filings and/or Orders:
07/29/2004
06/03/2004
06/03/2004
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OTOLARYNGOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2138 N KANSAS AVE
LIBERAL KS 67901-2012

Phone #: (620) 624-8360
Fax #:

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