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Next Update: Thursday, December 19, 2024 2:50 AM CST
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WASH, CONSTANCE DAPHINE
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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.
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| Practice Address: |
305 EAST EUCLID
SUITE 2
SAN ANTONIO TX 78212
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
17697 |
| Dated: |
7/1/1991 |
| Expires: |
7/1/1999 |
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Training
Issued:
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7/5/1990 |
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Training
Expires:
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7/1/1991 |
| License Type: |
Medical Doctor |
| Specialty: |
Hematology (Internal Medicine)
Medical Oncology
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of NM Sch Of Med, Albuquerque Nm 87131 |
| Graduated: |
5 /
1990 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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