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D'AVIS, JUAN CARLOS       
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: WALTER REED ARMY MED CENTER
DEPT OF SURGERY
WASHINGTON DC 20307-5001
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16722
Dated: 11/10/1988
Expires: 12/31/1991
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to: CONTRACTUAL AGREEMENT WITH DOD
Registered to Dispense: NO
Medical School: BOLIVIA MEDICAL SCHOOLS
Graduated: 3 / 1964
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/3/1988 Probation
Board Filings and/or Orders:
11/03/1988
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WALTER REED ARMY MED CENTER
DEPT OF SURGERY
WASHINGTON DC 20307-5001

Phone #:
Fax #:

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