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Next Update: Friday, April 26, 2024 12:00 PM CDT
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|
JACKSON, EDGAR BASIL |
| Practice Address: |
W142N7967 THORNDELL DR
MENOMONEE FALLS WI 53051
Address last updated on 9/23/2002 |
| Phone #: |
(262) 251-2124 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
13453 |
| Dated: |
11/17/1981 |
| Expires: |
11/1/2005 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Child and Adolescent Psychiatry
Psychoanalysis |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
The Queens Univ Of Belfast, Fac Med, Belfast (918-01 Eff 1/71) |
| Graduated: |
12 /
1957 |
| CME Year: |
2006 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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