Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
MARYMONT, JESSE HENRY JR
|
|
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: |
550 N HILLSIDE
WICHITA KS 67214-4910
Address last updated on 12/23/1999 |
| Phone #: |
|
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
9968 |
| Dated: |
6/18/1973 |
| Expires: |
6/30/1988 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
SUNY Upstate Med Univ, Syracuse, NY 13210 |
| Graduated: |
/
1954 |
| 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 NUCLEAR MEDICINE
AMERICAN BOARD OF PATHOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
