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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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NOVOSAD, CHARLES LOUIS JR       
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: P O BOX 3498
210 N HWY 285
POJOAQUE NM 87501

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 8996
Dated: 6/12/1960
Expires: 9/9/1994
License Type: Medical Doctor
Specialty: GERIATRICS
Internal Medicine
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: / 1954
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/09/1994
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
P O BOX 3498
210 N HWY 285
POJOAQUE NM 87501

Phone #:
Fax #:

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