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Oklahoma Board of Medical Licensure and Supervision

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ROSE, RAYMOND LESLIE       
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: 608 NW 9TH
#4004
OKLAHOMA CITY OK 73102

Address last updated on 12/23/1999
Phone #:
Fax #:
County: OKLAHOMA
License: 8591
Dated: 3/6/1967
Expires: 3/1/1996
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: / 1957
CME Year:
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
608 NW 9TH
#4004
OKLAHOMA CITY OK 73102

Phone #:
Fax #:

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