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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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BENJAMIN, ASHLEY BEZALEEL       
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: No Current Practice Address
Address last updated on 7/30/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 21087
Dated: 4/16/1999
Expires: 4/1/2009
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 12 / 1993
CME Year: 2011
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: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon: 12:30PM - 4:30PM
Tue: 12:30PM - 4:30PM
Wed: 12:30PM - 4:30PM
Thu: 12:30PM - 4:30PM
Fri: 12:30PM - 4:30PM

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