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SONE, SE OCK       
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: CREEK NATION HEALTH SYSTEM
800 FOREST AVENUE
EUFAULA OK 74432
Phone #:
Fax #:
County: MCINTOSH
License: 19401
Dated: 7/15/1995
Expires: 7/1/2002
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Special License
Restricted to: CREEK NATION HEALTH SYSTEM
Registered to Dispense: NO
Medical School: SOUTH KOREA MEDICAL SCHOOLS
Graduated: 2 / 1969
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CREEK NATION HEALTH SYSTEM
800 FOREST AVENUE
EUFAULA OK 74432

Phone #:
Fax #:

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