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Oklahoma Board of Medical Licensure and Supervision

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HUBNER, DOUGLAS CHARLES       
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: 5910 SOUTH ATLANTA PLACE
TULSA OK 74105

Address last updated on 12/31/2002
Phone #: (918) 743-3615
Fax #: (918) 481-4098
County: TULSA
License: 9440
Dated: 6/11/1971
Expires: 6/1/2007
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: / 1964
CME Year: 2007
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
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5910 SOUTH ATLANTA PLACE
TULSA OK 74105

Phone #: (918) 743-3615
Fax #: (918) 481-4098
Sun: Retired

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