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BOURNE, JEANETTE LILLIAN       
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: LOCUM MEDICAL GROUP
3700 PARK EAST DRIVE 4TH FLOOR
CLEVELAND OH 44122

Address last updated on 10/19/2009
Phone #: (216) 763-3118
Fax #:
County: NOT OKLAHOMA
License: 27355
Dated: 10/19/2009
Expires: 10/1/2010
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of MA Med Sch, Worcester Ma 01655
Graduated: 5 / 1987
CME Year: 2012
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LOCUM MEDICAL GROUP
3700 PARK EAST DRIVE 4TH FLOOR
CLEVELAND OH 44122

Phone #: (216) 763-3118
Fax #:

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