MONGILLO, DAVID ALAN - Licensee Information

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Last Update: Monday, May 6, 2024 11:02 AM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

MONGILLO, DAVID ALAN

Practice Address:	OUHSC PA PRGM P O BOX 26901 OKLAHOMA CITY OK 73190
Phone #:
Fax #:
County:	OKLAHOMA
License:	415
Dated:	10/18/1983
Expires:	3/31/1986
License Type:	Physician Assistant
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:
OUHSC PA PRGM P O BOX 26901 OKLAHOMA CITY OK 73190 Phone #: Fax #:

Hospital Privileges:

None listed

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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