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Oklahoma Board of Medical Licensure and Supervision

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HAGLUND, LISA ANN       
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: OKLA MEMORIAL HOSP
800 NE 13TH
OKLAHOMA CITY OK 73126
Phone #:
Fax #:
County: OKLAHOMA
License: 15750
Dated: 7/1/1986
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Internal Medicine
Infectious Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: U OF CHGO DIV OF BIO SCI PRITZKER SCH OF MED, CHICAGO IL 60637
Graduated: 6 / 1985
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLA MEMORIAL HOSP
800 NE 13TH
OKLAHOMA CITY OK 73126

Phone #:
Fax #:

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