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Oklahoma Board of Medical Licensure and Supervision

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

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

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