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Oklahoma Board of Medical Licensure and Supervision

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

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BLAKE, GEORGE       
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: No Current Practice Address
Address last updated on 12/1/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18245
Dated: 9/12/1992
Expires: 1/21/2009
Temp. Lic. Issued: 11/18/1991
Temp. Lic. Expires: 9/15/1992
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 6 / 1965
CME Year: 2009
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/26/2009 Surrendered License
2/3/2009 Complaint Citation
1/21/2009 Suspension, License
Board Filings and/or Orders:
03/26/2009
03/16/2009
02/03/2009
02/03/2009
01/21/2009
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Tricare Standard
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Spanish

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