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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

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NEVIN, DANIEL THOMAS
Practice Address: INFORM DIAGNOSTICS
15 CRAWFORD STREET
STE. 100
NEEDHAM MA 02494

Address last updated on 12/8/2020
Phone #: (617) 969-4100
Fax #: (214) 596-7484
County: NOT OKLAHOMA
License: 28173
Dated: 1/1/2011
Expires: 1/1/2022
Temp. Lic. Issued: 12/17/2010
Temp. Lic. Expires: 1/15/2011
License Type: Medical Doctor
Specialty: Anatomic Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF SOUTH AL COLL OF MED, MOBILE AL 36688
Graduated: 5 / 2003
CME Year: 2023
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: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INFORM DIAGNOSTICS
15 CRAWFORD STREET
STE. 100
NEEDHAM MA 02494

Phone #: (617) 969-4100
Fax #: (214) 596-7484
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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