BERLIE, JON RANDAL - Licensee Information - Oklahoma Medical Board

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Last Update: Tuesday, May 7, 2024 11:08 AM CDT
Next Update: Tuesday, May 7, 2024 4:30 PM CDT

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BERLIE, JON RANDAL

Practice Address:	CIMARRON EYE CENTER 4215 N CLASSEN BLVD OKLAHOMA CITY OK 73118
Phone #:
Fax #:
County:	OKLAHOMA
License:	21022
Dated:	2/12/1999
Expires:	2/1/2001
License Type:	Medical Doctor
Specialty:	Ophthalmology

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated:	5 / 1995
CME Year:	2002

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:
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
CIMARRON EYE CENTER 4215 N CLASSEN BLVD OKLAHOMA CITY OK 73118 Phone #: Fax #:

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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