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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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SOLANO, AMBROSIO ANTONIO JR       
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: 300 S ROCKWELL AVE
OKLAHOMA CITY OK 73128

Address last updated on 5/14/2024
Phone #: (405) 500-3430
Fax #:
County: OKLAHOMA
License: 11827
Dated: 7/1/1978
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 5 / 1977
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/1/2007 Probation Ended
1/27/2005 Modification Order
8/7/2003 Probation
1/30/2003 Suspension, License
Board Filings and/or Orders:
11/01/2007
11/02/2006
11/03/2005
05/05/2005
01/27/2005
06/05/2003
11/27/2002
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
300 S ROCKWELL AVE
OKLAHOMA CITY OK 73128

Phone #: (405) 500-3430
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MELISSA SUE HONICK PA 2062

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