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JACOBSON, RICHARD D
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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.
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| Practice Address: |
SPECIALTYCARE INC.
3 MARYLAND FARMS STE 200
BRENTWOOD TN 37027
Address last updated on 9/22/2022 |
| Phone #: |
(414) 690-4096 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
35302 |
| Dated: |
11/25/2019 |
| Expires: |
11/1/2023 |
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Temp.
Lic.
Issued:
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10/29/2019 |
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Temp.
Lic.
Expires:
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1/16/2020 |
| License Type: |
Medical Doctor |
| Specialty: |
Clinical Neurophysiology
Neurology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
U OF CHGO DIV OF BIO SCI PRITZKER SCH OF MED, CHICAGO IL 60637 |
| Graduated: |
6 /
1982 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific) - Clinical Neurophysiology |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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