CHISHOLM, ROBERT MILES III - Licensee Information

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Last Update: Wednesday, May 15, 2024 4:19 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

CHISHOLM, ROBERT MILES III

Practice Address:	SOUTHWESTERN MEDICAL CENTER 605 W GORE #6 LAWTON OK 73501 Address last updated on 10/29/2011
Phone #:	(580) 353-1616 x15
Fax #:	(580) 353-0052
County:	COMANCHE
License:	22563
Dated:	11/8/2001
Expires:	11/1/2012
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1996
CME Year:	2013

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

7/25/2013

Revoked License

4/23/2013

Complaint Citation

Board Filings and/or Orders:
08/02/2013
05/10/2013
02/08/2013
02/08/2013

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna PPO BlueChoice PPO BlueLincs HMO CIGNA PPO HealthChoice Preferred Community Choice SoonerCare HMO SoonerCare PPO United Healthcare Options PPO
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
SOUTHWESTERN MEDICAL CENTER 605 W GORE #6 LAWTON OK 73501 Phone #: (580) 353-1616 x15 Fax #: (580) 353-0052	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 12:00PM	Spanish