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BLANCHARD, WERLEIN ANTHONY       
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: SPRINGER CLINIC
2003 A SOUTH ELM PLACE
BROKEN ARROW OK 74012
Phone #:
Fax #: (918) 497-3773
County: TULSA
License: 18202
Dated: 8/10/1992
Expires: 8/1/2000
Training Issued: 6/6/1991
Training Expires: 9/30/1992
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1991
CME Year: 2000
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/28/2000 Surrendered License
Board Filings and/or Orders:
09/18/2000
06/15/2000
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SPRINGER CLINIC
2003 A SOUTH ELM PLACE
BROKEN ARROW OK 74012

Phone #:
Fax #: (918) 497-3773

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