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GOSHEN, ELI       
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: 312 NORTH HILLCREST STREET
ADA OK 74820-7221

Address last updated on 4/2/2002
Phone #:
Fax #:
County: PONTOTOC
License: 21169
Dated: 7/1/1999
Expires: 7/1/2002
License Type: Medical Doctor
Specialty: Psychiatry
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ De Med Si Farm Iuliu Hatieganu, Fac de Med, Cluj-Napoca, Romania
Graduated: 6 / 1950
CME Year: 2002
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:
312 NORTH HILLCREST STREET
ADA OK 74820-7221

Phone #:
Fax #:

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