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PINEGAR, GREGORY GLASE       
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: 921 OKLAHOMA BLVD
ALVA OK 73717
Phone #: (580) 327-0091
Fax #: (580) 327-0093
County: WOODS
License: 17680
Dated: 7/1/1991
Expires: 10/10/2006
Training Issued: 6/21/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Court Order
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
CME Year: 2009
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/17/2007 Surrendered License
4/11/2007 Complaint Citation
Board Filings and/or Orders:
05/17/2007
03/09/2007
03/09/2007
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
Welcor/Sooner
Hospital Privileges: Share Medical Center
Alva, OK
Locations: Hours: Languages:
921 OKLAHOMA BLVD
ALVA OK 73717

Phone #: (580) 327-0091
Fax #: (580) 327-0093

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