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GUZMAN, VIRGILIO TECLING       
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: 2100 MADISON AVE.
GRANITE CITY IL 62040

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 10982
Dated: 8/25/1976
Expires: 10/1/1993
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Void
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: / 1963
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
10/1/1993 Surrendered License
Board Filings and/or Orders:
10/01/1993
08/09/1993
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:
2100 MADISON AVE.
GRANITE CITY IL 62040

Phone #:
Fax #:

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