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Oklahoma Board of Medical Licensure and Supervision

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PAN, PETER MU-HSI       
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: 8181 S LEWIS
CITY OF FAITH
TULSA OK 74136
Phone #:
Fax #:
County: TULSA
License: 14232
Dated: 6/1/1983
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduated: 6 / 1971
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: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8181 S LEWIS
CITY OF FAITH
TULSA OK 74136

Phone #:
Fax #:

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