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Oklahoma Board of Medical Licensure and Supervision

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LIZARRAGA, ALEJANDRO M       
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
PO BOX 69
VINITA OK 74301
Phone #:
Fax #:
County: CRAIG
License: 21597
Dated: 9/15/1978
Expires: 9/1/1998
License Type: Medical Doctor
Specialty: Psychiatry
GERIATRICS
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: MEXICO MEDICAL SCHOOLS
Graduated: 1 / 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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EASTERN STATE HOSPITAL
PO BOX 69
VINITA OK 74301

Phone #:
Fax #:

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