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GRAWE, GLENDA HAZEL       
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: SOONER CATTLE RANCH
PIONEET TREK CHURCH OF JESUS CHRIST OF LDS
1272 COUNTRY ROAD 4070
PAWHUSKA OK 74003

Address last updated on 6/30/2011
Phone #: (918) 688-0457
Fax #:
County: OSAGE
License: 56
Dated: 7/1/2011
Expires: 7/1/2012
License Type: Medical Doctor Volunteer
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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.
Locations: Hours: Languages:
SOONER CATTLE RANCH
PIONEET TREK CHURCH OF JESUS CHRIST OF LDS
1272 COUNTRY ROAD 4070
PAWHUSKA OK 74003

Phone #: (918) 688-0457
Fax #:

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