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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, MELANIE DOERFLINGER
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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.
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| Practice Address: |
FREESTATE HEALTHCARE
4723 E DOUGLAS AVE
WICHITA KS 67218
Address last updated on 10/30/2024 |
| Phone #: |
(316) 500-7549 x706 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
43090 |
| Dated: |
9/6/2024 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/16/2024 |
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Temp.
Lic.
Expires:
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9/19/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
2008 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology) - Neuromuscular Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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