MENDOZA, JUAN CARLOS - Licensee Information

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Last Update: Tuesday, December 5, 2023 6:37 PM CST
Next Update: Wednesday, December 6, 2023 2:50 AM CST

MENDOZA, JUAN CARLOS

Practice Address:	MANGUM REGIONAL MEDICAL CENTER 1 WICKERSHAM DR MANGUM OK 73554-9117 Address last updated on 12/2/2023
Phone #:	(580) 782-3353
Fax #:	(580) 782-5243
County:	GREER
License:	903
Dated:	1/11/1996
Expires:	1/31/2026
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:
MANGUM REGIONAL MEDICAL CENTER 1 WICKERSHAM DR MANGUM OK 73554-9117 Phone #: (580) 782-3353 Fax #: (580) 782-5243

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

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