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Oklahoma Board of Medical Licensure and Supervision

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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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BERKENBILE, GLEN LEE       
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: 4134 E. 31ST. TULSA OK 74135
TULSA OK 74135

Address last updated on 5/24/2017
Phone #: (918) 492-3031
Fax #: (918) 492-3031
County: TULSA
License: 5857
Dated: 6/8/1949
Expires: 9/18/2017
License Type: Medical Doctor
Specialty: General Practice
Occupational Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1946
CME Year: 2019
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4134 E. 31ST. TULSA OK 74135
TULSA OK 74135

Phone #: (918) 492-3031
Fax #: (918) 492-3031

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