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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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NEVIN, DANIEL THOMAS       
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: INFORM DIAGNOSTICS
15 CRAWFORD STREET
STE. 100
NEEDHAM MA 02494

Address last updated on 12/8/2020
Phone #: (617) 969-4100
Fax #: (214) 596-7484
County: NOT OKLAHOMA
License: 28173
Dated: 1/1/2011
Expires: 1/1/2022
Temp. Lic. Issued: 12/17/2010
Temp. Lic. Expires: 1/15/2011
License Type: Medical Doctor
Specialty: Anatomic Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF SOUTH AL COLL OF MED, MOBILE AL 36688
Graduated: 5 / 2003
CME Year: 2023
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
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INFORM DIAGNOSTICS
15 CRAWFORD STREET
STE. 100
NEEDHAM MA 02494

Phone #: (617) 969-4100
Fax #: (214) 596-7484
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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