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HORNICEK, MICHAL PROKOP       
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: EASTERN STATE HOSPITAL
VINITA OK 74301

Address last updated on 2/24/2005
Phone #:
Fax #:
County: CRAIG
License: 21588
Dated: 6/10/1975
Expires: 6/30/1988
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Void
Restricted to:
Registered to Dispense: YES
Medical School: CZECHOSLOVAKIA MEDICAL SCHOOLS
Graduated: 9 / 1959
CME Year: 2000
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:
EASTERN STATE HOSPITAL
VINITA OK 74301

Phone #:
Fax #:

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