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Oklahoma Board of Medical Licensure and Supervision

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BLAKE, GEORGE       
Practice Address: No Current Practice Address
Address last updated on 12/1/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18245
Dated: 9/12/1992
Expires: 1/21/2009
Temp. Lic. Issued: 11/18/1991
Temp. Lic. Expires: 9/15/1992
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 6 / 1965
CME Year: 2009
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/26/2009 Surrendered License
2/3/2009 Complaint Citation
1/21/2009 Suspension, License
Board Filings and/or Orders:
03/26/2009
03/16/2009
02/03/2009
02/03/2009
01/21/2009
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Tricare Standard
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Spanish

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