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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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WREN, MICHAEL VICTOR       
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: 3665 EAST 3820 SOUTH, UNIT #5
SALT LAKE CITY UT 84109
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 13710
Dated: 6/2/1982
Expires: 6/30/1986
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduated: 5 / 1975
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3665 EAST 3820 SOUTH, UNIT #5
SALT LAKE CITY UT 84109

Phone #:
Fax #:

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