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Oklahoma Board of Medical Licensure and Supervision

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IMIAK, SALOMON       
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: SUMMIT MEDICAL CENTER
1800 S. RENAISSANCE BLVD
EDMOND OK 73013

Address last updated on 5/2/2017
Phone #: (405) 359-2432
Fax #:
County: OKLAHOMA
License: 29817
Dated: 6/12/2013
Expires: 6/1/2018
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ De Monterrey, Fac De Med, Monterrey, Nuevo Leon, Mexico
Graduated: 4 / 1993
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SUMMIT MEDICAL CENTER
1800 S. RENAISSANCE BLVD
EDMOND OK 73013

Phone #: (405) 359-2432
Fax #:

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