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JELIAZKOVA, IANA       
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: MERCY CLINIC ADULT HOSPITALISTS - ST. LOUIS
621 S. NEW BALLAS
SUITE 3016-B
ST. LOUIS MO 63141

Address last updated on 10/9/2017
Phone #: (314) 251-6339
Fax #:
County: NOT OKLAHOMA
License: 31453
Dated: 7/21/2015
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Medical University of Sofia, Fac of Med, Sofia, Bulgaria
Graduated: 11 / 1995
CME Year: 2018
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY CLINIC ADULT HOSPITALISTS - ST. LOUIS
621 S. NEW BALLAS
SUITE 3016-B
ST. LOUIS MO 63141

Phone #: (314) 251-6339
Fax #:

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