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Next Update: Thursday, December 19, 2024 2:50 AM CST

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MANH, VAN XUAN       
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: 6014 N KEENLAND
PEORIA IL 61614
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 15425
Dated: 9/28/1985
Expires: 6/30/1988
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SOUTH VIET-NAM MEDICAL SCHOOLS
Graduated: 11 / 1967
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:
6014 N KEENLAND
PEORIA IL 61614

Phone #:
Fax #:

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