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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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MEDINA, JESUS EDILBERTO       
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: OU PHYSICIANS DEPT OF ORL
825 NE 10TH STREET SUITE 4200
OKLAHOMA CITY OK 73104

Address last updated on 8/18/2021
Phone #: (405) 271-7559
Fax #: (405) 271-8127
County: OKLAHOMA
License: 14989
Dated: 9/22/1984
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Nac De San Agustin, Fac De Med, Arequipa, Peru
Graduated: 4 / 1974
CME Year: 2024
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 OTOLARYNGOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OU PHYSICIANS DEPT OF ORL
825 NE 10TH STREET SUITE 4200
OKLAHOMA CITY OK 73104

Phone #: (405) 271-7559
Fax #: (405) 271-8127
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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