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Oklahoma Board of Medical Licensure and Supervision

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KOLB, TODD ALLAN       
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: 2225 PARK ST
COLUMBIA SC 29201

Address last updated on 5/24/2016
Phone #: (803) 254-8356
Fax #: (803) 256-9309
County: NOT OKLAHOMA
License: 19903
Dated: 7/26/1996
Expires: 7/1/2017
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Chicago Med Sch at Rosalin Franklin Univ of Med & Sci, North Chicago, IL
Graduated: 6 / 1972
CME Year: 2018
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
AMERICAN BOARD OF PATHOLOGY - Blood Banking/Transfusion Medicine
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2225 PARK ST
COLUMBIA SC 29201

Phone #: (803) 254-8356
Fax #: (803) 256-9309
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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