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Oklahoma Board of Medical Licensure and Supervision

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HORDINSKY, JERRY ROMAN       
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: 6208 SADDLEBACK DRIVE
OKLAHOMA CITY OK 73150-6114

Address last updated on 12/23/1999
Phone #:
Fax #:
County: OKLAHOMA
License: 9598
Dated: 10/27/1971
Expires: 10/20/2000
License Type: Medical Doctor
Specialty: Occupational Medicine
Aerospace Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: NWU, Feinberg Sch of Med, Chicago Il 60611
Graduated: / 1967
CME Year: 2003
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 PREVENTIVE MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6208 SADDLEBACK DRIVE
OKLAHOMA CITY OK 73150-6114

Phone #:
Fax #:

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