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MEDELLIN, JESSE EARL       
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: SAN ANTONIO TUMOR/BLOOD CLINIC
215 EAST QUINCY
SUITE 310
SAN ANTONIO TX 78215
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17445
Dated: 8/28/1990
Expires: 8/1/1996
Training Issued: 11/27/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Hematology (Internal Medicine)
Medical Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 7 / 1989
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:
SAN ANTONIO TUMOR/BLOOD CLINIC
215 EAST QUINCY
SUITE 310
SAN ANTONIO TX 78215

Phone #:
Fax #:

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