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Oklahoma Board of Medical Licensure and Supervision

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BURKE, JASON RUSSELL       
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: No Current Practice Address
Phone #:
Fax #:
County:
License: 23351
Dated: 4/14/2003
Expires: 4/1/2004
Temp. Lic. Issued: 3/26/2003
Temp. Lic. Expires: 5/10/2003
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduated: 5 / 1996
CME Year: 2006
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:

Phone #:
Fax #:

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