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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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FUNA, GLORIA BANEZ       
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 STATE PSYCHIATRIC CTR
FORT SUPPLY OK 73841
Phone #:
Fax #:
County: WOODWARD
License: 14016
Dated: 10/7/1982
Expires: 10/1/1996
License Type: Medical Doctor
Specialty: GERIATRICS
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1955
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 STATE PSYCHIATRIC CTR
FORT SUPPLY OK 73841

Phone #:
Fax #:

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