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Oklahoma Board of Medical Licensure and Supervision

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ISRAEL, STEVEN LAURENCE       
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: ATTN: EVICORE
1420 S. BABCOCK
MELBOURNE FL 32901

Address last updated on 1/14/2020
Phone #:
Fax #: (615) 468-4406
County: NOT OKLAHOMA
License: 25940
Dated: 9/14/2007
Expires: 9/1/2019
Temp. Lic. Issued: 8/31/2007
Temp. Lic. Expires: 11/3/2007
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduated: 5 / 1974
CME Year: 2019
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
CIGNA HMO
CIGNA PPO
Great West Healthcare
SoonerCare HMO
Texas Medicaid
Hospital Privileges: None listed
Locations: Hours: Languages:
ATTN: EVICORE
1420 S. BABCOCK
MELBOURNE FL 32901

Phone #:
Fax #: (615) 468-4406
Mon:
Tue:
Wed:
Thu:
Fri:
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Sun:

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