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Next Update: Thursday, April 25, 2024 2:50 AM CDT
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TA, HA |
| Practice Address: |
5500 E KELLOGG
WICHITA KS 67218
Address last updated on 6/7/2001 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
20234 |
| Dated: |
7/10/1997 |
| Expires: |
7/1/2002 |
|
Training
Issued:
|
7/1/1996 |
|
Training
Expires:
|
8/1/1997 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
6 /
1996 |
| CME Year: |
2003 |
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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 |
| 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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