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Oklahoma Board of Medical Licensure and Supervision

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BLANKENSHIP, GREGORY DEAN       
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: GREENCOUNTRY P&O
POST OFFICE BOX 450811
GROVE OK 74345

Address last updated on 12/31/2002
Phone #: (918) 787-4142
Fax #:
County: DELAWARE
License: 29
Dated: 1/1/2003
Expires: 12/31/2005
Temp. Ltr. Issued: 8/16/2002
Temp. Ltr. Expires: 12/31/2002
License Type: Licensed Prosthetist/Orthotist
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:
GREENCOUNTRY P&O
POST OFFICE BOX 450811
GROVE OK 74345

Phone #: (918) 787-4142
Fax #:

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