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TRANT, COLLIE MICHAEL       
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: 19229 HEATHER FOREST STREET
SAN ANTONIO TX 78258-3820

Address last updated on 11/17/2013
Phone #: (614) 352-7878
Fax #:
County: NOT OKLAHOMA
License: 27020
Dated: 6/23/2009
Expires: 6/1/2014
Temp. Lic. Issued: 5/8/2009
Temp. Lic. Expires: 6/26/2009
License Type: Medical Doctor
Specialty: Forensic Pathology
Anatomic Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 1975
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: AMERICAN BOARD OF PATHOLOGY
AMERICAN BOARD OF PATHOLOGY - Forensic Pathology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
19229 HEATHER FOREST STREET
SAN ANTONIO TX 78258-3820

Phone #: (614) 352-7878
Fax #:
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:

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