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FULTON, REBECCA 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: PATHOLOGISTS' REGIONAL LABORATORY
415 6TH ST
LEWISTON ID 83501

Address last updated on 6/22/2016
Phone #: (208) 746-0516
Fax #:
County: NOT OKLAHOMA
License: 30824
Dated: 7/1/2014
Expires: 7/1/2017
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Hematology (Pathology)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 5 / 2006
CME Year: 2017
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 - Hematology
AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PATHOLOGISTS' REGIONAL LABORATORY
415 6TH ST
LEWISTON ID 83501

Phone #: (208) 746-0516
Fax #:

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