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Next Update: Thursday, December 19, 2024 2:50 AM CST

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UDONTA, EMEM DAN       
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: SOUTHERN OK NEUROLOGICAL CLN
PO BOX 6035
ARDMORE OK 73403-1035
Phone #:
Fax #: (580) 220-6887
County: CARTER
License: 18555
Dated: 7/1/1993
Expires: 7/1/2002
License Type: Medical Doctor
Specialty: Neurology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 5 / 1988
CME Year: 2003
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 PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUTHERN OK NEUROLOGICAL CLN
PO BOX 6035
ARDMORE OK 73403-1035

Phone #:
Fax #: (580) 220-6887

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