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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, January 19, 2018 6:57 PM CST
Next Update: Saturday, January 20, 2018 2:50 AM CST

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FORD, GLEN OWEN
Practice Address: SPECIALTY CARE
214 CENTERVIEW DRIVE
SUITE 100
BRENTWOOD TN 37027-9931

Address last updated on 1/10/2013
Phone #: (800) 521-9757
Fax #:
County: NOT OKLAHOMA
License: 64
Dated: 6/3/2003
Expires: 1/31/2014
License Type: Perfusionist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
SPECIALTY CARE
214 CENTERVIEW DRIVE
SUITE 100
BRENTWOOD TN 37027-9931

Phone #: (800) 521-9757
Fax #:

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