Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

GRIM, EDWARD MICHAEL       
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: 1402 MISSISSIPPI AVENUE
JOPLIN MO 64801-5348
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 15071
Dated: 3/6/1985
Expires: 6/30/1994
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 6 / 1956
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 UROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1402 MISSISSIPPI AVENUE
JOPLIN MO 64801-5348

Phone #:
Fax #:

Return to Search Licensees page