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GLYNN, EDWARD IVAN
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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.
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| Practice Address: |
10300 SUNNYMEADE
OKLAHOMA CITY OK 73120
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| Phone #: |
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| Fax #: |
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| County: |
OKLAHOMA |
| License: |
21815 |
| Dated: |
10/4/2000 |
| Expires: |
10/1/2002 |
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Training
Issued:
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7/1/1999 |
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Training
Expires:
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7/1/2001 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Eastern VA Med Sch, Norfolk, VA |
| Graduated: |
5 /
1999 |
| CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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