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DE JONG, DAVID CORNELIUS       
Practice Address: 550 WEST SHORE LANE
WICHITA KS 67209
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17584
Dated: 2/2/1991
Expires: 2/1/2001
Temp. Lic. Issued: 1/3/1991
Temp. Lic. Expires: 7/1/1991
License Type: Medical Doctor
Specialty: General Practice
Clinical Pathology
Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 6 / 1959
CME Year: 2001
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
550 WEST SHORE LANE
WICHITA KS 67209

Phone #:
Fax #:

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