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PICKERING, JACK EDWARD       
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: LANKENAU HOSPITAL
316 LANKENAU MEDICAL BUILDING
WYNNEWOOD PA 19096

Address last updated on 8/4/2010
Phone #: (610) 642-0100
Fax #:
County: NOT OKLAHOMA
License: 27636
Dated: 8/4/2010
Expires: 8/1/2011
License Type: Medical Doctor
Specialty: Internal Medicine
Cardiovascular Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1958
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LANKENAU HOSPITAL
316 LANKENAU MEDICAL BUILDING
WYNNEWOOD PA 19096

Phone #: (610) 642-0100
Fax #:

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