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PRIDE, GLENN LEE SR       
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: LEHIGH VALLEY WOMEN'S CANCER
1611 POND ROAD
SUITE 101
ALLENTOWN PA 18104
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17546
Dated: 12/20/1990
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Medical Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 6 / 1967
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:
LEHIGH VALLEY WOMEN'S CANCER
1611 POND ROAD
SUITE 101
ALLENTOWN PA 18104

Phone #:
Fax #:

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