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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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EBBESSON, BERNO SAMUEL EBBE       
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: 400 EAST CENTRAL
SUITE 505A
PONCA CITY OK 74601

Address last updated on 1/16/2004
Phone #: (580) 761-6657
Fax #:
County: KAY
License: 10199
Dated: 6/17/1974
Expires: 6/1/2010
License Type: Medical Doctor
Specialty: General Surgery
Other Specialty
Vascular Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1970
CME Year: 2010
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.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
400 EAST CENTRAL
SUITE 505A
PONCA CITY OK 74601

Phone #: (580) 761-6657
Fax #:

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