ROSS, JACK WILLIAM - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

ROSS, JACK WILLIAM

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: