KUWAHARA, RAYMOND TAKASHI - Licensee Information

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KUWAHARA, RAYMOND TAKASHI

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:	UNIVERSITY OF OKLAHOMA DEPT OF DERMATOLOGY 619 NE 13TH OKLAHOMA CITY OK 73104 Address last updated on 4/23/2002
Phone #:
Fax #:
County:	OKLAHOMA
License:	22517
Dated:	8/22/2001
Expires:	8/1/2004
Temp. Lic. Issued:	6/21/2001
Temp. Lic. Expires:	9/29/2001
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduated:	5 / 1997
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:
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
UNIVERSITY OF OKLAHOMA DEPT OF DERMATOLOGY 619 NE 13TH OKLAHOMA CITY OK 73104 Phone #: Fax #:

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