COTTRILL, GLEN DAVID - Licensee Information

Search Results

Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

COTTRILL, GLEN DAVID

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:	DUNCAN ALLERGY EARS NOSE AND THROAT 1401 DUNCAN REGIONAL LOOP RD DUNCAN OK 73533 Address last updated on 3/7/2024
Phone #:	(580) 252-0100
Fax #:	(580) 252-0106
County:	STEPHENS
License:	1130
Dated:	6/12/2001
Expires:	3/31/2025
Temp. Ltr. Issued:	4/13/2001
Temp. Ltr. Expires:	7/21/2001
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
DUNCAN ALLERGY EARS NOSE AND THROAT 1401 DUNCAN REGIONAL LOOP RD DUNCAN OK 73533 Phone #: (580) 252-0100 Fax #: (580) 252-0106

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JOHN HAMILTON MCGATH	MD	18192

Return to Search Licensees page