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Oklahoma Board of Medical Licensure and Supervision

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WORSHAM, BERTRAND RAY       
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: 9915 N KELLEY AVE
OKLAHOMA CITY OK 73131

Address last updated on 8/1/2003
Phone #: (405) 478-5822
Fax #:
County: OKLAHOMA
License: 7176
Dated: 8/14/1958
Expires: 10/1/2003
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: / 1955
CME Year: 2006
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9915 N KELLEY AVE
OKLAHOMA CITY OK 73131

Phone #: (405) 478-5822
Fax #:

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