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MILLNAMOW, GREGORY ALAN       
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: LAWTON
LAWTON OK 73505

Address last updated on 5/24/2013
Phone #:
Fax #:
County: COMANCHE
License: 20326
Dated: 7/25/1997
Expires: 7/1/2014
Training Issued: 7/6/1995
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1995
CME Year: 2015
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
LAWTON
LAWTON OK 73505

Phone #:
Fax #:
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