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