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FLOREZ, JUAN BAUTISTA GABRIEL       
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: Not Currently Practicing
PHOENIX AZ 85012
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14204
Dated: 5/25/1983
Expires: 5/1/1996
License Type: Medical Doctor
Specialty: Psychiatry
HYPNOSIS
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: MEXICO MEDICAL SCHOOLS
Graduated: 6 / 1975
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/25/1995 Revoked License
Board Filings and/or Orders:
07/15/1995
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:
Not Currently Practicing
PHOENIX AZ 85012

Phone #:
Fax #:

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