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Oklahoma Board of Medical Licensure and Supervision

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THURLBY, SAGE VERMONT       
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: EFMC
620 S MADISON #304
ENID OK 73701

Address last updated on 7/18/2000
Phone #:
Fax #:
County: GARFIELD
License: 21347
Dated: 8/13/1999
Expires: 8/1/2003
Training Issued: 7/1/1999
Training Expires: 7/1/2000
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1998
CME Year: 2005
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EFMC
620 S MADISON #304
ENID OK 73701

Phone #:
Fax #:

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