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COSTA, JOSE MAURICIO LINS       
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: COMPHEALTH
PO BOX 713100
SALT LAKE CITY UT 84171

Address last updated on 12/1/2015
Phone #: (800) 453-3030
Fax #:
County: NOT OKLAHOMA
License: 28144
Dated: 12/9/2010
Expires: 12/1/2017
Temp. Lic. Issued: 10/22/2010
Temp. Lic. Expires: 1/28/2011
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Do Sao Paulo, Fac De Med Ribeirao Preto, Ribeirao Preto, Sp, Brazil
Graduated: 12 / 1968
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMPHEALTH
PO BOX 713100
SALT LAKE CITY UT 84171

Phone #: (800) 453-3030
Fax #:

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