BOSTROM, CARA RHODES - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
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BOSTROM, CARA RHODES

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:	GREAT PLAINS FAMILY PRACTICE RESIDENCY 3500 NW 56TH STREET #100 OKLAHOMA CITY OK 73112-4518 Address last updated on 9/28/2010
Phone #:	(405) 951-2855
Fax #:	(405) 951-2858
County:	OKLAHOMA
License:	25031
Dated:	11/1/2007
Expires:	11/1/2010
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163
Graduated:	5 / 2005
CME Year:	2010

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:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
GREAT PLAINS FAMILY PRACTICE RESIDENCY 3500 NW 56TH STREET #100 OKLAHOMA CITY OK 73112-4518 Phone #: (405) 951-2855 Fax #: (405) 951-2858	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

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