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HERSON, PATRICK BARTHOLOMEW       
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: AMERICAN MEDICAL SECURITY
800 EAST ST FRANCIS ROAD
DEPERE WI 54115

Address last updated on 11/7/2005
Phone #: (920) 661-2883
Fax #:
County: NOT OKLAHOMA
License: 23837
Dated: 6/1/2004
Expires: 6/1/2006
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: U OF CHGO DIV OF BIO SCI PRITZKER SCH OF MED, CHICAGO IL 60637
Graduated: 6 / 1988
CME Year: 2007
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
AMERICAN MEDICAL SECURITY
800 EAST ST FRANCIS ROAD
DEPERE WI 54115

Phone #: (920) 661-2883
Fax #:

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