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Oklahoma Board of Medical Licensure and Supervision

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TRAN, TRONG TAN       
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: NORTH EAST FLORIDA STATE HOSPITAL
7487 121SR
MAC CLENNY FL 32063

Address last updated on 7/31/2010
Phone #: (904) 259-6211
Fax #:
County: NOT OKLAHOMA
License: 12864
Dated: 9/17/1980
Expires: 9/1/2010
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: FAC MIXTE DE MED ET DE PHARM UNIV DE SAIGON, SAIGON, S VIETNAM
Graduated: 8 / 1967
CME Year: 2012
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:
NORTH EAST FLORIDA STATE HOSPITAL
7487 121SR
MAC CLENNY FL 32063

Phone #: (904) 259-6211
Fax #:
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:15PM
Sat:
Sun:

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