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Oklahoma Board of Medical Licensure and Supervision

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RICKE, JEROLD ROMAN       
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: LINCOLN CHRISTIAN SCHOOL
1003 N 129TH E AVE
TULSA OK 74116

Address last updated on 8/29/2003
Phone #: (918) 234-8863
Fax #:
County: TULSA
License: 226
Dated: 1/21/1999
Expires: 8/31/2006
Temp. Ltr. Issued: 1/14/1999
Temp. Ltr. Expires: 3/31/1999
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
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:
LINCOLN CHRISTIAN SCHOOL
1003 N 129TH E AVE
TULSA OK 74116

Phone #: (918) 234-8863
Fax #:

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