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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, October 17, 2018 1:14 PM CDT
Next Update: Wednesday, October 17, 2018 4:30 PM CDT

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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.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
SPECIALTY CARE
214 CENTERVIEW DRIVE
SUITE 100
BRENTWOOD TN 37027-9931

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

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