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

Search Results

Last Update: Sunday, May 19, 2024 7:08 PM CDT
Next Update: Monday, May 20, 2024 2:50 AM CDT

Return to Search Licensees page

PETERSON, ALAN CLIFTON       
Practice Address: PATHOLOGISTS' REGIONAL LABORATORY
415 6TH ST
LEWISTON ID 83501

Address last updated on 6/6/2016
Phone #: (208) 746-0516
Fax #:
County: NOT OKLAHOMA
License: 22816
Dated: 8/7/2002
Expires: 8/1/2017
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1996
CME Year: 2017
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:
PATHOLOGISTS' REGIONAL LABORATORY
415 6TH ST
LEWISTON ID 83501

Phone #: (208) 746-0516
Fax #:

Return to Search Licensees page