Search Results
Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
Return to Search Licensees page
|
PEREZ, WILLARD ORTANEZ
|
|
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: |
315 WEST GARY BOULEVARD
CLINTON OK 73601-2835
Address last updated on 9/18/2022 |
| Phone #: |
(580) 547-0900 |
| Fax #: |
|
| County: |
CUSTER |
| License: |
24679 |
| Dated: |
11/3/2005 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Dr N Reyes Med Fndn Inst Of Med, Far Eastern Univ, Quezon City, Philippines |
| Graduated: |
3 /
1984 |
| CME Year: |
2026 |
|
|
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 |
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
VICKI LYNN DISHON
|
PA |
1046 |
|
|
Return to Search Licensees page
