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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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CARMONA RODRIGUEZ, JORGE LUIS       
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: 731 12TH AVENUE NORTHWEST SUITE 100
ARDMORE OK 73401

Address last updated on 12/14/2021
Phone #: (580) 223-3216
Fax #:
County: CARTER
License: 32740
Dated: 2/24/2017
Expires: 2/1/2023
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 6 / 2011
CME Year: 2023
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 SURGERY (Surgery specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
731 12TH AVENUE NORTHWEST SUITE 100
ARDMORE OK 73401

Phone #: (580) 223-3216
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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