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Next Update: Thursday, December 19, 2024 2:50 AM CST
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LICCIARDI, KANDACE RENEE
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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.
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| Practice Address: |
AMEN CLINIC
7301 STATE HWY 161 #170
IRVING TX 75039
Address last updated on 8/16/2024 |
| Phone #: |
(214) 483-7070 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
38403 |
| Dated: |
9/23/2021 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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9/9/2021 |
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Temp.
Lic.
Expires:
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11/18/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Ross Univ, Sch of Med, Barbados (eff Spring 2019) |
| Graduated: |
11 /
2011 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Forensic Psychiatry |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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