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Next Update: Thursday, October 31, 2024 4:30 PM CDT
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RUSSELL, GUY ROBERT
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| Practice Address: |
4165 FORT DONELSON DRIVE
STOCKTON CA 95219
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18397 |
| Dated: |
6/7/1993 |
| Expires: |
6/1/1997 |
|
Temp.
Lic.
Issued:
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4/29/1993 |
|
Temp.
Lic.
Expires:
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6/4/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Psychoanalysis
Child and Adolescent Psychiatry |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261 |
| Graduated: |
6 /
1964 |
| CME Year: |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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