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BOOTH, RICHARD CHARLES       
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: CARDIOVASCULAR PERFUSION ALLIANCE LLC
3601 N MAY AVENUE SUITE C
OKLAHOMA CITY OK 73112-6659

Address last updated on 1/12/2014
Phone #: (405) 604-5613
Fax #: (405) 601-3750
County: OKLAHOMA
License: 57
Dated: 11/9/2000
Expires: 1/31/2015
License Type: Perfusionist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/21/2012 Probation
2/7/2012 Suspension, License
10/14/2011 Complaint Citation
Board Filings and/or Orders:
06/28/2012
02/07/2012
02/06/2012
10/13/2011
10/13/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
CARDIOVASCULAR PERFUSION ALLIANCE LLC
3601 N MAY AVENUE SUITE C
OKLAHOMA CITY OK 73112-6659

Phone #: (405) 604-5613
Fax #: (405) 601-3750

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