CANONIGO, REDENTOR LERIAS - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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CANONIGO, REDENTOR LERIAS

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:	WASHINGTON REGIONAL MEDICAL CT 1125 NORTH COLLEGE AVENUE FAYETTEVILLE AR 72703
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	2189
Dated:	6/23/1994
Expires:	1/31/2002
Temp. Ltr. Issued:	4/14/1994
Temp. Ltr. Expires:	7/23/1994
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
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.

Locations:	Hours:	Languages:
WASHINGTON REGIONAL MEDICAL CT 1125 NORTH COLLEGE AVENUE FAYETTEVILLE AR 72703 Phone #: Fax #:

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