HERRICK, JONATHAN PHILIP - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

HERRICK, JONATHAN PHILIP

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:	MCALESTER REGIONAL HEALTH CENTER-SE ORTHOPEDICS 1 E CLARK BASS BLVD. MCALESTER OK 74501 Address last updated on 7/3/2024
Phone #:	(405) 476-9691
Fax #:
County:	PITTSBURG
License:	769
Dated:	9/1/2019
Expires:	8/31/2021
Temp. Ltr. Issued:	6/28/2019
Temp. Ltr. Expires:	9/12/2019
License Type:	Apprentice Athletic Trainer
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	0

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:
MCALESTER REGIONAL HEALTH CENTER-SE ORTHOPEDICS 1 E CLARK BASS BLVD. MCALESTER OK 74501 Phone #: (405) 476-9691 Fax #:

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