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CORDOVA, EDMUND SILFREDO       
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: Not Currently Practicing
PASADENA MD 21122
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16849
Dated: 5/11/1989
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 6 / 1976
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/16/1995 Revoked License
Board Filings and/or Orders:
09/16/1995
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
PASADENA MD 21122

Phone #:
Fax #:

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