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Last Update: Monday, April 29, 2024 10:43 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT
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|
NIDA, JERRY RAYMOND |
| Practice Address: |
1812 DOVE COURT
EDMOND OK 73034-6104
Address last updated on 5/21/2008 |
| Phone #: |
(405) 340-9618 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
7619 |
| Dated: |
6/1/1960 |
| Expires: |
6/1/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
|
| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
/
1960 |
| CME Year: |
2010 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 3/27/2003 |
Probation Ended |
|
|
| 3/14/2002 |
Probation |
|
|
| 3/14/2002 |
Suspension, License |
|
|
Board Filings and/or Orders:
03/27/2003
03/14/2002
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
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