Search Results
Last Update: Thursday, October 31, 2024 6:52 PM CDT
Next Update: Friday, November 1, 2024 2:50 AM CDT
Return to Search Licensees page
|
RUSNACK, DOUGLAS WILLIAM
|
| Practice Address: |
12 EDGEWOOD ROAD
ST. LOUIS MO 63124
Address last updated on 3/20/2012 |
| Phone #: |
(917) 477-7351 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
23807 |
| Dated: |
4/14/2004 |
| Expires: |
4/1/2013 |
|
Temp.
Lic.
Issued:
|
2/4/2004 |
|
Temp.
Lic.
Expires:
|
5/22/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032 |
| Graduated: |
5 /
1998 |
| CME Year: |
2013 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
