Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

Return to Search Licensees page

HACKETT, THEODORE NORMAN JR
Practice Address: 1812 VERDUGO BLVD
GLENDALE CA 91209
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 12976
Dated: 1/27/1981
Expires: 1/1/1996
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 6 / 1976
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1812 VERDUGO BLVD
GLENDALE CA 91209

Phone #:
Fax #:

Return to Search Licensees page