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Next Update: Thursday, December 19, 2024 2:50 AM CST
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BEAGLE, SINA GRACE
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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.
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| Practice Address: |
No Current Practice Address
Address last updated on 9/8/2008 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
19999 |
| Dated: |
11/5/1996 |
| Expires: |
11/1/2008 |
| License Type: |
Medical Doctor |
| Specialty: |
Endocrinology, Diabetes and Metabolism
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Wake Forest Univ Sch of Med, Winston-Salem, NC 27157 |
| Graduated: |
6 /
1974 |
| CME Year: |
2009 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
HealthChoice
UniCare Health Plans of Oklahoma
United Healthcare Options PPO |
| Hospital Privileges: |
Medical Center of Southeastern OK
Durant, OK
Texoma Medical Center
Denison, TX
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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