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BENTLAGE, CHARLES HENRY
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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: |
1513 WEST 32ND ST.
JOPLIN MO 64801
Address last updated on 12/23/1999 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
8935 |
| Dated: |
12/20/1968 |
| Expires: |
6/30/1986 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery
Aerospace Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
| Graduated: |
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1959 |
| CME Year: |
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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 SURGERY |
| 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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