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DAVIS, JASON 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: EMERGENCY RADIOLOGY
9 BROOKRIDGE COURT
BLOOMINGTON IL 61704

Address last updated on 1/27/2011
Phone #: (309) 662-0667
Fax #:
County: NOT OKLAHOMA
License: 23772
Dated: 3/23/2004
Expires: 3/1/2012
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 6 / 1997
CME Year: 2013
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EMERGENCY RADIOLOGY
9 BROOKRIDGE COURT
BLOOMINGTON IL 61704

Phone #: (309) 662-0667
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sat:
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