MENDOZA, JUAN CARLOS - Licensee Information

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Last Update: Tuesday, June 6, 2023 6:16 PM CDT
Next Update: Wednesday, June 7, 2023 2:50 AM CDT

MENDOZA, JUAN CARLOS

Practice Address:	JACKSON COUNTY MEMORIAL HSP 1200 E PECAN ALTUS OK 73521-6197 Address last updated on 2/22/2022
Phone #:	(580) 379-5243
Fax #:	(580) 379-5249
County:	JACKSON
License:	903
Dated:	1/11/1996
Expires:	1/31/2024
License Type:	Respiratory Care Practitioner
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
JACKSON COUNTY MEMORIAL HSP 1200 E PECAN ALTUS OK 73521-6197 Phone #: (580) 379-5243 Fax #: (580) 379-5249

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
HOMERO AVILA	RC	4035

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