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ROSEN, JEFRY H.       
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: OUHSC DEPT OTORHINOLARYNGOLOGY
PO BOX 26901 3SP 226
OKLAHOMA CITY OK 73190
Phone #:
Fax #:
County: OKLAHOMA
License: 18440
Dated: 7/1/1993
Expires: 7/1/1997
Training Issued: 6/18/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Mt Sinai Sch Of Med of NY Univ, New York Ny 10029
Graduated: 5 / 1992
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OUHSC DEPT OTORHINOLARYNGOLOGY
PO BOX 26901 3SP 226
OKLAHOMA CITY OK 73190

Phone #:
Fax #:

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