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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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BECERRA, DELFINO VALLEJO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1300 SOUTH COUNTRY CLUB ROAD
EL RENO OK 73036

Address last updated on 9/1/2024
Phone #:
Fax #:
County: CANADIAN
License: 307
Dated: 12/7/2001
Expires: 8/31/2025
Temp. Ltr. Issued: 8/12/2004
Temp. Ltr. Expires: 9/24/2004
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
1300 SOUTH COUNTRY CLUB ROAD
EL RENO OK 73036

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GEORGE GHATA MD 32460
DAVID LEE HOLDEN MD 14695
M. SEAN O'BRIEN DO 3481

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