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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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GUIA, LEONARDO ILAGAN       
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: WESTERN MENTAL HEALTH INST.
BOLIVAR TN 38074
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 12023
Dated: 9/30/1978
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: General Practice
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 8 / 1954
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WESTERN MENTAL HEALTH INST.
BOLIVAR TN 38074

Phone #:
Fax #:

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