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ROSS, JACK WILLIAM       
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: HARTFORD HSP/AIDS PROGRAM
80 SEYMOUR STREET
PO BOX 5037
HARTFORD CT 06102-5037

Address last updated on 9/29/2016
Phone #: (860) 972-2878
Fax #:
County: NOT OKLAHOMA
License: 15954
Dated: 10/2/1986
Expires: 10/1/2019
License Type: Medical Doctor
Specialty: Internal Medicine
Infectious Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduated: 5 / 1982
CME Year: 2021
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HARTFORD HSP/AIDS PROGRAM
80 SEYMOUR STREET
PO BOX 5037
HARTFORD CT 06102-5037

Phone #: (860) 972-2878
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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