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CICHOWICZ-EMMANUELLI, EDWARD RAYMOND       
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: EDIFICIO MEDICO SANTA CRUZ
SUITE 215
BAYAMON PR 00959
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14595
Dated: 1/14/1984
Expires: 1/1/1998
License Type: Medical Doctor
Specialty: Gastroenterology
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 6 / 1974
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EDIFICIO MEDICO SANTA CRUZ
SUITE 215
BAYAMON PR 00959

Phone #:
Fax #:

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