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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2019 5:34 PM CDT
Next Update: Monday, May 20, 2019 2:50 AM CDT

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Practice Address: 5051 S 129TH E AVE
TULSA OK 74129

Address last updated on 10/31/2018
Phone #:
Fax #:
County: TULSA
License: 1524
Dated: 11/1/2007
Expires: 10/31/2019
Temp. Ltr. Issued: 8/16/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Licensed Dietitian
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
5051 S 129TH E AVE
TULSA OK 74129

Phone #:
Fax #:

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