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MINA, AFIFA G.       
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: RUSH-PRESBYTERIAN ST LUKE'S
1753 W HARRISON ST
CHICAGO IL 60612
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 13601
Dated: 5/17/1982
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: EGYPT MEDICAL SCHOOLS
Graduated: 7 / 1971
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/23/1988 Reprimand
9/11/1987 Surrendered License
9/11/1987 Revoked License
Board Filings and/or Orders:
01/23/1988
09/11/1987
09/11/1987
09/11/1987
07/21/1987
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:
RUSH-PRESBYTERIAN ST LUKE'S
1753 W HARRISON ST
CHICAGO IL 60612

Phone #:
Fax #:

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