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CEBALLOS, RAUL JR.       
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: COMANCHE COUNTY MEMORIAL HSP
PO BOX 785
LAWTON OK 73502
Phone #:
Fax #:
County: COMANCHE
License: 18304
Dated: 1/8/1993
Expires: 1/1/1999
Training Issued: 10/16/1992
Training Expires: 2/28/1993
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 6 / 1985
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMANCHE COUNTY MEMORIAL HSP
PO BOX 785
LAWTON OK 73502

Phone #:
Fax #:

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