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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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SANCLEMENT, JOSE ANTONIO       
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: STEPHENSON CANCER CENTER
800 NE 10TH- 4TH FLOOR
OKLAHOMA CITY OK 73104

Address last updated on 5/29/2024
Phone #: (405) 271-5504
Fax #: (405) 271-1984
County: OKLAHOMA
License: 25575
Dated: 6/1/2007
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Central Del Caribe Sch Of Med, Bayamon Pr 00621
Graduated: 6 / 2001
CME Year: 2025
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 OTOLARYNGOLOGY
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: McBride Orthopedic Hospital
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
STEPHENSON CANCER CENTER
800 NE 10TH- 4TH FLOOR
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5504
Fax #: (405) 271-1984
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PETER LYNN GRAY PA 318
MERRY MATHEW THENMADATHIL PA 1857
LEAH DAWN YTURRI PA 3062

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