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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TITEL, JERRY HARVEY       
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: 2655 NORTHWINDS PARKWAY
ALPHARETTA GA 30009

Address last updated on 6/26/2009
Phone #: (678) 992-1618
Fax #: (678) 352-4329
County: NOT OKLAHOMA
License: 17443
Dated: 8/23/1990
Expires: 8/1/2011
Temp. Lic. Issued: 6/28/1990
Temp. Lic. Expires: 9/1/1990
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: U OF CHGO DIV OF BIO SCI PRITZKER SCH OF MED, CHICAGO IL 60637
Graduated: 6 / 1965
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 ANESTHESIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2655 NORTHWINDS PARKWAY
ALPHARETTA GA 30009

Phone #: (678) 992-1618
Fax #: (678) 352-4329

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