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Next Update: Thursday, May 16, 2024 12:00 PM CDT
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GREEN, SUSAN DIANE
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| Practice Address: |
1145 SOUTH UTICA
SUITE 367
TULSA OK 74104
Address last updated on 2/18/2003 |
| Phone #: |
(918) 579-7791 |
| Fax #: |
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| County: |
TULSA |
| License: |
23230 |
| Dated: |
2/18/2003 |
| Expires: |
2/1/2007 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ of TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
5 /
1995 |
| CME Year: |
2009 |
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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 PATHOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hillcrest Medical Center
Tulsa, OK
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