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KOLLURI, GLENN IMMANUEL       
Practice Address: 1 SAN GABRIEL LANE
PALM COAST FL 32137

Address last updated on 5/29/2018
Phone #: (386) 793-7588
Fax #:
County: NOT OKLAHOMA
License: 31660
Dated: 6/22/2015
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Neurology
Vascular Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 10 / 1996
CME Year: 2019
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 PSYCHIATRY AND NEUROLOGY - Vascular Neurology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1 SAN GABRIEL LANE
PALM COAST FL 32137

Phone #: (386) 793-7588
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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