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Next Update: Thursday, December 19, 2024 12:00 PM CST
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FULLENWIDER, CHARLES GLENDENNING
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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: |
4701 GIRARD
MUSKOGEE OK 74401-1584
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| Phone #: |
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| Fax #: |
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| County: |
MUSKOGEE |
| License: |
5708 |
| Dated: |
6/25/1948 |
| Expires: |
6/1/2000 |
| License Type: |
Medical Doctor |
| Specialty: |
Ophthalmology |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Washington Univ in St Louis Sch of Med, St Louis MO |
| Graduated: |
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1943 |
| CME Year: |
2001 |
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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 OPHTHALMOLOGY |
| 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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