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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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RAIKAR, BAO-LAN NGUYEN
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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: |
200 S GREENLEAF ST
SUITE E
GURNEE WI 60031
Address last updated on 5/3/2022 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
20497 |
| Dated: |
1/2/1998 |
| Expires: |
1/1/2023 |
| License Type: |
Medical Doctor |
| Specialty: |
Phlebology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ne Coll Of Med, Omaha Ne 68198 |
| Graduated: |
6 /
1991 |
| CME Year: |
2025 |
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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 SURGERY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital Not Listed
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| Locations: |
Hours: |
Languages: |
200 S GREENLEAF ST
SUITE E
GURNEE WI 60031
Phone #:
Fax #:
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Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: 8:00AM - 5:00PM |
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