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BAUTISTA, ANGELINA DE LOS ANGELES       
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: PARMA COMMUNITY GENERAL HOSPITAL
DEPT OF PATHOLOGY
7007 POWERS BLVD
PARMA OH 44129

Address last updated on 5/7/2012
Phone #: (440) 743-2140
Fax #:
County: NOT OKLAHOMA
License: 28339
Dated: 5/17/2011
Expires: 5/1/2013
Temp. Lic. Issued: 4/29/2011
Temp. Lic. Expires: 6/25/2011
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Hematology (Pathology)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduated: 4 / 1969
CME Year: 2014
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
AMERICAN BOARD OF PATHOLOGY - Hematology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PARMA COMMUNITY GENERAL HOSPITAL
DEPT OF PATHOLOGY
7007 POWERS BLVD
PARMA OH 44129

Phone #: (440) 743-2140
Fax #:

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