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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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JACOB, MARK ALAN
Practice Address: OKLAHOMA HEALTH SCIENCES CTR.
P.O. BOX 26901
OKLAHOMA CITY OK 73190
Phone #:
Fax #:
County: OKLAHOMA
License: 12881
Dated: 9/25/1980
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1979
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA HEALTH SCIENCES CTR.
P.O. BOX 26901
OKLAHOMA CITY OK 73190

Phone #:
Fax #:

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