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Oklahoma Board of Medical Licensure and Supervision

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PAYNE, IRINA EDWARDOVNA       
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: 1777 LONSDALE AVE
NORTH VANCOUVER V7M2J6

Address last updated on 10/24/2014
Phone #: (778) 886-6511
Fax #: (604) 984-7647
County: NOT OKLAHOMA
License: 22402
Dated: 10/1/2003
Expires: 10/1/2014
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: RUSSIAN MEDICAL SCHOOLS
Graduated: 6 / 2001
CME Year: 2015
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 FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Drumright Regional Hospital
Drumright, OK
Holdenville General Hospital
Holdenville, OK
INTEGRIS Clinton Regional Hospital
Clinton, OK
Locations: Hours: Languages:
1777 LONSDALE AVE
NORTH VANCOUVER V7M2J6

Phone #: (778) 886-6511
Fax #: (604) 984-7647
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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