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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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FORTH, MONICA JAYE       
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 6/28/2004
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 21233
Dated: 7/7/1999
Expires: 7/1/2005
Training Issued: 7/1/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Howard Univ Coll Of Med, Washington DC 20059
Graduated: 5 / 1998
CME Year: 2005
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: BlueChoice PPO
BlueLincs HMO
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon: 7:30AM - 5:30PM
Tue: 7:30AM - 5:30PM
Wed: 7:30AM - 5:30PM
Thu: 7:30AM - 5:30PM
Fri: 7:30AM - 5:30PM

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