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Oklahoma Board of Medical Licensure and Supervision

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BEITSCH, LESLIE 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: OKLAHOMA STATE DEPT OF HEALTH
1000 NE 10TH STREET
OKLAHOMA CITY OK 73117-1299

Address last updated on 6/20/2001
Phone #: (405) 271-4200
Fax #: (405) 271-3431
County: OKLAHOMA
License: 22324
Dated: 6/20/2001
Expires: 6/1/2004
License Type: Medical Doctor
Specialty: Public Health and General Preventive Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Georgetown Univ Sch Of Med, Washington DC 20007
Graduated: 5 / 1980
CME Year: 2004
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 PREVENTIVE MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA STATE DEPT OF HEALTH
1000 NE 10TH STREET
OKLAHOMA CITY OK 73117-1299

Phone #: (405) 271-4200
Fax #: (405) 271-3431

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