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Oklahoma Board of Medical Licensure and Supervision

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LAGOS, JORGE COLOMA       
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: 2620 NW EXPRESSWAY
SUITE C
OKLAHOMA CITY OK 73112-7207

Address last updated on 12/23/1999
Phone #:
Fax #:
County: OKLAHOMA
License: 9051
Dated: 6/11/1969
Expires: 6/30/1988
License Type: Medical Doctor
Specialty: Child Neurology
Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: CHILE MEDICAL SCHOOLS
Graduated: / 1958
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2620 NW EXPRESSWAY
SUITE C
OKLAHOMA CITY OK 73112-7207

Phone #:
Fax #:

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