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HARDISON, CHARLES LYNN       
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: POINT LOMA NAZARENE UNIVERSITY
STUDENT SUCCESS ABD WELLNESS CENTER
3900 LOMALAND DR.
SAN DIEGO CA 92106

Address last updated on 6/4/2018
Phone #: (619) 849-2574
Fax #: (619) 849-7014
County: NOT OKLAHOMA
License: 24405
Dated: 7/15/2005
Expires: 7/1/2019
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 5 / 1989
CME Year: 2020
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
POINT LOMA NAZARENE UNIVERSITY
STUDENT SUCCESS ABD WELLNESS CENTER
3900 LOMALAND DR.
SAN DIEGO CA 92106

Phone #: (619) 849-2574
Fax #: (619) 849-7014
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 12:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:

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