Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
JIMENEZ, GUILLERMO RODRIGO
|
|
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: |
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344
Address last updated on 2/13/2024 |
| Phone #: |
(952) 595-1100 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
35627 |
| Dated: |
4/2/2020 |
| Expires: |
4/1/2025 |
|
Temp.
Lic.
Issued:
|
3/16/2020 |
|
Temp.
Lic.
Expires:
|
5/7/2020 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology
Vascular and Interventional Radiology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
UNIV DE PANAMA, FAC DE MED, PANAMA CITY, PANAMA |
| Graduated: |
9 /
2001 |
| 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 RADIOLOGY (Interventional & Diagnostic specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
