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Oklahoma Board of Medical Licensure and Supervision

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LAUDENSCHLAGER, MARK DAVID       
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: DEPT OF PATHOLOGY
940 STANTON L YOUNG BLVD
ROOM 451
OKLAHOMA CITY OK 73104

Address last updated on 2/3/2014
Phone #: (405) 271-2422
Fax #: (405) 271-2568
County: OKLAHOMA
License: 29787
Dated: 4/15/2013
Expires: 4/1/2015
Temp. Lic. Issued: 3/29/2013
Temp. Lic. Expires: 5/17/2013
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sanford Sch of Med of the Univ of SD, Vermillion, SD
Graduated: 5 / 2007
CME Year: 2016
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
DEPT OF PATHOLOGY
940 STANTON L YOUNG BLVD
ROOM 451
OKLAHOMA CITY OK 73104

Phone #: (405) 271-2422
Fax #: (405) 271-2568
Mon: 8:00AM - 5:15PM
Tue: 8:00AM - 5:15PM
Wed: 8:00AM - 5:15PM
Thu: 8:00AM - 5:15PM
Fri: 8:00AM - 5:15PM
Sat:
Sun:

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