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:	1238
Dated:	9/1/2021
Expires:	8/31/2025
Temp. Ltr. Issued:	6/28/2021
Temp. Ltr. Expires:	9/16/2021
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
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 #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
PATRICK RUSSELL GANNON	MD	20652

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