LUNDGRIN, DARYL BRENT - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

LUNDGRIN, DARYL BRENT

Practice Address:	GREENVIEW HOSPITAL 1801 ASHLEY CIRCLE DEPARTMENT OF PATHOLOGY BOWLING GREEN KY 42104 Address last updated on 3/6/2017
Phone #:	(270) 793-2110
Fax #:	(615) 263-9572
County:	NOT OKLAHOMA
License:	18866
Dated:	4/27/1994
Expires:	4/1/2019
License Type:	Medical Doctor
Specialty:	Hematology (Pathology) Anatomic/Clinical Pathology

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:	5 / 1977
CME Year:	2019

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 PATHOLOGY - Hematology AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical)
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
GREENVIEW HOSPITAL 1801 ASHLEY CIRCLE DEPARTMENT OF PATHOLOGY BOWLING GREEN KY 42104 Phone #: (270) 793-2110 Fax #: (615) 263-9572	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun: