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Oklahoma Board of Medical Licensure and Supervision

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BERNSON, MARC ISRAEL       
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: FIRST MED
4510 NW 39TH EXPRESSWAY
OKLAHOMA CITY OK 73122

Address last updated on 9/30/2005
Phone #: (405) 495-5841
Fax #:
County: OKLAHOMA
License: 1376
Dated: 11/4/2004
Expires: 3/31/2007
Temp. Ltr. Issued: 9/30/2005
Temp. Ltr. Expires: 11/5/2005
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
FIRST MED
4510 NW 39TH EXPRESSWAY
OKLAHOMA CITY OK 73122

Phone #: (405) 495-5841
Fax #:

Hospital Privileges:

None listed

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