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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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IPE, TINA SUSAN
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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: |
REGEN MED
15300 KANIS ROAD
LITTLE ROCK AR 72223
Address last updated on 2/29/2024 |
| Phone #: |
(501) 246-5703 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
39158 |
| Dated: |
3/28/2022 |
| Expires: |
3/1/2025 |
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Temp.
Lic.
Issued:
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3/8/2022 |
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Temp.
Lic.
Expires:
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5/12/2022 |
| License Type: |
Medical Doctor |
| Specialty: |
Blood Banking/Transfusion Medicine
Clinical Pathology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298 |
| Graduated: |
5 /
2009 |
| CME Year: |
2025 |
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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 PATHOLOGY (Clinical)
AMERICAN BOARD OF PATHOLOGY (Clinical) - Blood Banking/Transfusion Medicine |
| 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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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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PATTI D LATSCHAR
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PA |
1014 |
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