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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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FORBES, JOAQUIN MAURICIO       
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: CHOCTAW NATION OF OKLAHOMA
DURANT REGIONAL/EMPLOYEE HEALTH
1801 CHUKKA HINA
DURANT OK 74701

Address last updated on 11/22/2024
Phone #: (580) 931-3636
Fax #: (580) 916-9194
County: BRYAN
License: 30475
Dated: 5/15/2014
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 1 / 2005
CME Year: 2026
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHOCTAW NATION OF OKLAHOMA
DURANT REGIONAL/EMPLOYEE HEALTH
1801 CHUKKA HINA
DURANT OK 74701

Phone #: (580) 931-3636
Fax #: (580) 916-9194
Mon: 7:00AM - 6:00PM
Tue: 7:00AM - 6:00PM
Wed:
Thu: 7:00AM - 6:00PM
Fri: 7:00AM - 6:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHAWNA DIANE O'DONLEY PA 2411

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