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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GLAZE, KATHLEEN ANN       
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: 6136 E 32ND PL
TULSA OK 74135-5406

Address last updated on 6/12/2019
Phone #: (918) 665-6400
Fax #: (918) 627-3693
County: TULSA
License: 13761
Dated: 7/1/1982
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1981
CME Year: 2024
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 OBSTETRICS AND GYNECOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Blue Cross Blue Shield-Blue Traditional
OSMA Health (formerly Plico PPO)
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
6136 E 32ND PL
TULSA OK 74135-5406

Phone #: (918) 665-6400
Fax #: (918) 627-3693
Mon:
Tue: 9:30AM - 2:00PM
Wed: 9:30AM - 2:00PM
Thu:
Fri:
Sat:
Sun:

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