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METCOFF, JACK       
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: 1420 SHERIDAN ROAD
WILMETTE IL 60091

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9227
Dated: 6/18/1970
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Pediatrics
Neonatal-Perinatal Medicine
Nutrition
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: NWU, Feinberg Sch of Med, Chicago Il 60611
Graduated: / 1943
CME Year:
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 PEDIATRICS
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1420 SHERIDAN ROAD
WILMETTE IL 60091

Phone #:
Fax #:

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