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Oklahoma Board of Medical Licensure and Supervision

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JUAN, MELENCIO FRANCISCO       
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: 2708 CRESTLINE ROAD
BIG SPRING TX 79720
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20910
Dated: 9/24/1998
Expires: 9/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1984
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2708 CRESTLINE ROAD
BIG SPRING TX 79720

Phone #:
Fax #:

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