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GIBBS, PRESNALL GLENN       
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: 7047 N 6TH AVENUE
PHOENIX AZ 85021-8760

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 10048
Dated: 8/8/1973
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Emergency Medicine
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 5 / 1972
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
10/21/1989 Probation
Board Filings and/or Orders:
10/20/1989
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
7047 N 6TH AVENUE
PHOENIX AZ 85021-8760

Phone #:
Fax #:

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