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Oklahoma Board of Medical Licensure and Supervision

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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 HSC
920 S L YOUNG #WP1360
OKLAHOMA CITY OK 73104

Address last updated on 5/23/2011
Phone #: (405) 271-5428
Fax #:
County: OKLAHOMA
License: 24974
Dated: 7/1/2008
Expires: 7/1/2012
License Type: Medical Doctor
Specialty: Internal Medicine
Gastroenterology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: St Matthew's Univ-Grand Cayman
Graduated: 4 / 2006
CME Year: 2014
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA HSC
920 S L YOUNG #WP1360
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5428
Fax #:
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun: 8:00AM - 4:00PM

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