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

Search Results

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

Return to Search Licensees page

GLEN, ROBERT STORY       
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: CHISHOLM TRAIL COUNSELING SVS
PO BOX 811
CHICKASHA OK 73018-0811
Phone #:
Fax #:
County: GRADY
License: 16667
Dated: 9/12/1988
Expires: 9/1/1997
Temp. Lic. Issued: 5/27/1988
Temp. Lic. Expires: 10/20/1988
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 5 / 1953
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 PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHISHOLM TRAIL COUNSELING SVS
PO BOX 811
CHICKASHA OK 73018-0811

Phone #:
Fax #:

Return to Search Licensees page