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GUZMAN, CORAZON BANEZ
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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: |
1010 EAST 20TH STREET
TULSA OK 74120
Address last updated on 12/23/1999 |
Phone #: |
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Fax #: |
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County: |
TULSA |
License: |
8904 |
Dated: |
10/8/1968 |
Expires: |
10/1/2000 |
License Type: |
Medical Doctor |
Specialty: |
Child and Adolescent Psychiatry
Pediatrics |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
PHILIPPINE MEDICAL SCHOOLS |
Graduated: |
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1954 |
CME Year: |
2000 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
#1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
02/28/1992
02/02/1991
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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: |
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New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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