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Next Update: Thursday, December 19, 2024 12:00 PM CST

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DOMINGO, MIGUEL ISLETA       
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: MARIAN HANCOCK MEDICAL CLINIC
220 SOUTH PALISADE DRIVE
SUITE 100
SANTA MARIA CA 93454
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18243
Dated: 9/12/1992
Expires: 9/1/1996
Temp. Lic. Issued: 6/27/1991
Temp. Lic. Expires: 9/30/1992
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1983
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MARIAN HANCOCK MEDICAL CLINIC
220 SOUTH PALISADE DRIVE
SUITE 100
SANTA MARIA CA 93454

Phone #:
Fax #:

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