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Oklahoma Board of Medical Licensure and Supervision

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MONTOYA, JIMMY RAY       
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: TAHLEQUAH CITY HOSPITAL
1400 E DOWNING
PO BOX 1008
TAHLEQUAH OK 74464

Address last updated on 3/17/2003
Phone #: (918) 453-2351
Fax #:
County: CHEROKEE
License: 2072
Dated: 3/17/2003
Expires: 3/31/2005
Temp. Ltr. Issued: 1/23/2003
Temp. Ltr. Expires: 3/29/2003
License Type: Respiratory Care Practitioner
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:
TAHLEQUAH CITY HOSPITAL
1400 E DOWNING
PO BOX 1008
TAHLEQUAH OK 74464

Phone #: (918) 453-2351
Fax #:

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