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Oklahoma Board of Medical Licensure and Supervision

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LOPEZ, AGUSTIN D.       
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: 3309 N W 64TH
OKLAHOMA CITY OK 73116-3503

Address last updated on 12/23/1999
Phone #:
Fax #:
County: OKLAHOMA
License: 9337
Dated: 10/20/1970
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: CUBA MEDICAL SCHOOLS
Graduated: / 1941
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 PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3309 N W 64TH
OKLAHOMA CITY OK 73116-3503

Phone #:
Fax #:

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