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Oklahoma Board of Medical Licensure and Supervision

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PANMAI, KRAINGSAK       
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: 123 EVANS ST
APACHE OK 73006

Address last updated on 12/23/1999
Phone #:
Fax #:
County: CADDO
License: 10618
Dated: 8/11/1975
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: THAILAND MEDICAL SCHOOLS
Graduated: 3 / 1972
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:
123 EVANS ST
APACHE OK 73006

Phone #:
Fax #:

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