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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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KORNBLEE, ALWYN TRAVERS       
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: UTICA SQUARE MED. CTR., #106
TULSA OK 74114
Phone #:
Fax #:
County: TULSA
License: 4678
Dated: 1/10/1939
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Dermatology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Rush Med Coll of Rush Univ Med Ctr, Chicago, IL
Graduated: / 1937
CME Year:
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 DERMATOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UTICA SQUARE MED. CTR., #106
TULSA OK 74114

Phone #:
Fax #:

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