FORD, GLEN OWEN - Licensee Information

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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:

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.

Locations:	Hours:	Languages:
SPECIALTY CARE 214 CENTERVIEW DRIVE SUITE 100 BRENTWOOD TN 37027-9931 Phone #: (800) 521-9757 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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