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Last Update: Monday, April 29, 2024 2:28 PM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT
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GLENN, AMBER L
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Practice Address: |
MERCY HOSPITAL ADA
430 N MONTE VISTA STREET
ADA OK 74820
Address last updated on 10/7/2021 |
Phone #: |
(580) 332-2323 |
Fax #: |
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County: |
PONTOTOC |
License: |
38816 |
Dated: |
12/1/2021 |
Expires: |
12/1/2022 |
Temp.
Lic.
Issued:
|
11/1/2021 |
Temp.
Lic.
Expires:
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1/20/2022 |
License Type: |
Medical Doctor |
Specialty: |
Obstetrics & Gynecology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Wayne State Univ SOM, Detroit Mi 48201 |
Graduated: |
6 /
2016 |
CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
|
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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