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MALDONADO, CESAR ALFREDO       
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: 815 EAST 6TH STREET
TISHOMINGO OK 73460

Address last updated on 7/14/2014
Phone #: (580) 421-4547
Fax #:
County: JOHNSTON
License: 30834
Dated: 6/23/2014
Expires: 6/1/2015
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 7 / 2010
CME Year: 2017
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
815 EAST 6TH STREET
TISHOMINGO OK 73460

Phone #: (580) 421-4547
Fax #:

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