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QAQISH, CLEMENT SAHHOOM       
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: NORTH COUNTY ORAL & FACIAL SURGERY CENTER
839 EAST GRAND AVENUE
ESCONDIDO CA 92025

Address last updated on 5/24/2012
Phone #: (760) 432-8888
Fax #: (760) 432-0179
County: NOT OKLAHOMA
License: 27680
Dated: 5/4/2010
Expires: 5/1/2012
License Type: Medical Doctor
Specialty: Oral & Maxillofacial Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated: 6 / 2007
CME Year: 2013
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
Locations: Hours: Languages:
NORTH COUNTY ORAL & FACIAL SURGERY CENTER
839 EAST GRAND AVENUE
ESCONDIDO CA 92025

Phone #: (760) 432-8888
Fax #: (760) 432-0179

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