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Oklahoma Board of Medical Licensure and Supervision

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ISENBERG, JEFFREY SCOTT       
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: Not Currently Practicing
MIDWEST CITY OK 73110
Phone #:
Fax #:
County: OKLAHOMA
License: 19413
Dated: 7/21/1995
Expires: 5/11/2000
License Type: Medical Doctor
Specialty: Plastic Surgery
General Surgery
Other Specialty
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 6 / 1986
CME Year: 2000
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/23/2000 Surrendered License
Board Filings and/or Orders:
06/23/2000
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
Not Currently Practicing
MIDWEST CITY OK 73110

Phone #:
Fax #:

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