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HERNANDEZ, JERRY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: No Current Practice Address
Address last updated on 1/1/2018
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 29256
Dated: 1/1/2013
Expires: 1/1/2019
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SUNY Upstate Med Univ, Syracuse, NY 13210
Graduated: 5 / 2000
CME Year: 2019
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/1/2019 Revoked License
10/9/2018 Complaint Citation
12/8/2016 Voluntary Submittal to Jurisdiction
10/24/2016 Complaint Citation
Board Filings and/or Orders:
06/01/2019
10/09/2018
10/09/2018
12/08/2016
10/24/2016
10/24/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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