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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, September 1, 2024 3:39 AM CDT
Next Update: Sunday, September 1, 2024 12:00 PM CDT

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DOMINGUEZ, CARLOS       
Practice Address: SSM HEALTH PULMONARY CLINIC
608 NW 9TH ST. #5100
OKLAHOMA CITY OK 73102

Address last updated on 6/17/2024
Phone #: (405) 772-4400
Fax #:
County: OKLAHOMA
License: 2277
Dated: 12/5/2023
Expires: 6/30/2024
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
SSM HEALTH PULMONARY CLINIC
608 NW 9TH ST. #5100
OKLAHOMA CITY OK 73102

Phone #: (405) 772-4400
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LORI DAWN NAISMITH RC 3335

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