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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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LEVENTHAL, MITCHELL WARREN
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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: |
320 KELLEY DRIVE
MACCEDONIA OH 44056
Address last updated on 4/8/2024 |
| Phone #: |
(216) 548-6770 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
9900 |
| Dated: |
6/30/1972 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
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1971 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 3/14/2004 |
Probation Ended |
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| 9/27/2001 |
Probation |
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Board Filings and/or Orders:
09/27/2001
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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: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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