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Oklahoma Board of Medical Licensure and Supervision

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LOOP, PAUL JAY       
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: 2200 GAGE BLVD
BLD 2-3 DEPT. T-116-M
TOPEKA KS 66622

Address last updated on 3/30/2007
Phone #: (785) 350-3111 x2142
Fax #:
County: NOT OKLAHOMA
License: 21027
Dated: 4/1/1999
Expires: 4/1/2008
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 6 / 1993
CME Year: 2008
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/18/2008 Surrendered License
8/1/2008 Complaint Citation
Board Filings and/or Orders:
09/18/2008
09/03/2008
07/25/2008
07/25/2008
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:
2200 GAGE BLVD
BLD 2-3 DEPT. T-116-M
TOPEKA KS 66622

Phone #: (785) 350-3111 x2142
Fax #:
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM

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