BERGNER, JAY THOMAS - Licensee Information

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BERGNER, JAY THOMAS

Practice Address:	JOHNSTON MEMORIAL HOSPITAL 1000 SOUTH BYRD STREET TISHOMINGO OK 73460 Address last updated on 6/28/2001
Phone #:
Fax #:
County:	JOHNSTON
License:	892
Dated:	1/11/1996
Expires:	1/31/2004
Temp. Ltr. Issued:	4/19/2001
Temp. Ltr. Expires:	7/21/2001
License Type:	Respiratory Care Practitioner
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
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.

Locations:	Hours:	Languages:
JOHNSTON MEMORIAL HOSPITAL 1000 SOUTH BYRD STREET TISHOMINGO OK 73460 Phone #: Fax #:

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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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