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Oklahoma Board of Medical Licensure and Supervision

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BOSTROM, STUART GARY       
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: P O BOX 26901
OUHSC DEPT OF OB/GYN
OKLAHOMA CITY OK 73190
Phone #:
Fax #:
County: OKLAHOMA
License: 16029
Dated: 2/12/1987
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 5 / 1971
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 OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
P O BOX 26901
OUHSC DEPT OF OB/GYN
OKLAHOMA CITY OK 73190

Phone #:
Fax #:

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