SELF, LAURA LESLIE - Licensee Information

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SELF, LAURA LESLIE

Practice Address:	BLUE CROSS BLUE SHIELD OF TEXAS 1001E LOKOUT DRIVE RICHARDSON TX 75082 Address last updated on 9/8/2012
Phone #:	(866) 977-7378
Fax #:
County:	NOT OKLAHOMA
License:	1838
Dated:	3/16/2012
Expires:	10/31/2013
License Type:	Licensed Dietitian
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	0

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:
BLUE CROSS BLUE SHIELD OF TEXAS 1001E LOKOUT DRIVE RICHARDSON TX 75082 Phone #: (866) 977-7378 Fax #:

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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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