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PACHECO, JOSE ANTONIO       
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: VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344

Address last updated on 5/25/2017
Phone #: (952) 595-1100
Fax #:
County: NOT OKLAHOMA
License: 33182
Dated: 8/18/2017
Expires: 8/1/2018
License Type: Medical Doctor
Specialty: Diagnostic Radiology
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: 5 / 2003
CME Year: 2020
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #:

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