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DONOVAN, JEREMIAH P.       
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: ST CLOUD REGIONAL MEDICAL CENTER
2906 17TH STREET
ST CLOUD FL 34769

Address last updated on 4/15/2017
Phone #: (407) 892-2135
Fax #:
County: NOT OKLAHOMA
License: 33027
Dated: 7/17/2017
Expires: 7/1/2018
Temp. Lic. Issued: 6/30/2017
Temp. Lic. Expires: 7/20/2017
License Type: Medical Doctor
Specialty: Internal Medicine
Gastroenterology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 1982
CME Year: 2020
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 - Gastroenterology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST CLOUD REGIONAL MEDICAL CENTER
2906 17TH STREET
ST CLOUD FL 34769

Phone #: (407) 892-2135
Fax #:

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