CHERRY, LISA ANN - Licensee Information

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CHERRY, LISA ANN

Practice Address:	NUTRITION MGMT SVCS 1216 E KENOSHA PMB 265 BROKEN ARROW OK 74012 Address last updated on 10/29/2003
Phone #:	(918) 357-1501
Fax #:
County:	TULSA
License:	1290
Dated:	9/23/2003
Expires:	10/31/2004
Temp. Ltr. Issued:	7/23/2003
Temp. Ltr. Expires:	10/31/2003
License Type:	Licensed Dietitian
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:
NUTRITION MGMT SVCS 1216 E KENOSHA PMB 265 BROKEN ARROW OK 74012 Phone #: (918) 357-1501 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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