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Next Update: Tuesday, April 30, 2024 12:00 PM CDT
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|
JOHNSON, TATUM SIMON |
| Practice Address: |
SUNSET RADIOLOGY INC
2301 ROSECRANS AVENUE #4150
EL SEGUNDO CA 90245
Address last updated on 8/28/2009 |
| Phone #: |
(310) 706-4440 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
27370 |
| Dated: |
9/15/2009 |
| Expires: |
9/1/2010 |
|
Temp.
Lic.
Issued:
|
8/28/2009 |
|
Temp.
Lic.
Expires:
|
11/20/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology
Pediatric Radiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
LSU Sch Of Med in New Orleans, New Orleans La 70112 |
| Graduated: |
5 /
2000 |
| CME Year: |
2012 |
|
|
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.
|
| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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