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Oklahoma Board of Medical Licensure and Supervision

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CABALLERO, MICHELLE RAYE       
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: OUHSC DEPT OF ANESTHESIOLOGY
920 STANTON L YOUNG BLVD
SUITE 2530
OKLAHOMA CITY OK 73104

Address last updated on 7/12/2004
Phone #: (405) 271-4351
Fax #:
County: OKLAHOMA
License: 23882
Dated: 7/1/2004
Expires: 7/1/2006
License Type: Medical Doctor
Specialty: Pediatric Anesthesiology (Pediatrics)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 6 / 1999
CME Year: 2007
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:
OUHSC DEPT OF ANESTHESIOLOGY
920 STANTON L YOUNG BLVD
SUITE 2530
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4351
Fax #:

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