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Oklahoma Board of Medical Licensure and Supervision

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MARTY, JERRY JOHN       
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: 9000 FRANKLIN SQUARE DRIVE
FRANKLIN SQUARE HOSPITAL CENTER
DEPT. OF PATHOLOGY
BALTIMORE MD 21237

Address last updated on 7/19/2010
Phone #: (443) 777-8248
Fax #: (443) 777-7198
County: NOT OKLAHOMA
License: 14960
Dated: 9/6/1984
Expires: 9/1/2011
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Clinical Pathology
Cytopathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 5 / 1976
CME Year: 2012
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 PATHOLOGY
AMERICAN BOARD OF PATHOLOGY - Cytopathology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
United Healthcare Options PPO
Hospital Privileges: Hospital Not Listed
,
Locations: Hours: Languages:
9000 FRANKLIN SQUARE DRIVE
FRANKLIN SQUARE HOSPITAL CENTER
DEPT. OF PATHOLOGY
BALTIMORE MD 21237

Phone #: (443) 777-8248
Fax #: (443) 777-7198
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat: 8:00AM - 6:00PM
Sun: 8:00AM - 6:00PM
Spanish

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