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LUNDGRIN, DARYL BRENT       
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: 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:

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