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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GLENN, CHAD ALLAN       
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: 800 NW 9TH STREET
SUITE 100
OKLAHOMA CITY OK 73106

Address last updated on 6/12/2024
Phone #: (405) 815-5050
Fax #:
County: OKLAHOMA
License: 27877
Dated: 7/1/2011
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Active
Status Class: Fully Licensed
Restricted to: Limited Agreement not to practice
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 2010
CME Year: 2026
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 NEUROLOGICAL SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
800 NW 9TH STREET
SUITE 100
OKLAHOMA CITY OK 73106

Phone #: (405) 815-5050
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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