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TEAL, KEVIN RENARD
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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.
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Practice Address: |
611 WEST PARK STREET
URBANA IL 61801
Address last updated on 8/12/2014 |
Phone #: |
(217) 383-5159 |
Fax #: |
(855) 457-8674 |
County: |
NOT OKLAHOMA |
License: |
29001 |
Dated: |
7/12/2012 |
Expires: |
7/1/2015 |
License Type: |
Medical Doctor |
Specialty: |
Neurological Surgery |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
Graduated: |
6 /
1991 |
CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF NEUROLOGICAL SURGERY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital Not Listed
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Hospital(s) Not In Oklahoma
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INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
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Locations: |
Hours: |
Languages: |
611 WEST PARK STREET
URBANA IL 61801
Phone #:
(217) 383-5159
Fax #:
(855) 457-8674 |
Mon: 9:00AM - 1:00PM Tue: 9:00AM - 5:00PM Wed: 9:00AM - 5:00PM Thu: 9:00AM - 5:00PM Fri: Sat: Sun: |
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