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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, February 17, 2018 7:21 PM CST
Next Update: Sunday, February 18, 2018 2:50 AM CST

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HICKS, JEANINE LYNETTE
Practice Address: DAVITA MIDWEST CITY DIALYSIS
7221 E. RENO AVE
MIDWEST CITY OK 73110

Address last updated on 10/2/2014
Phone #: (405) 869-9600
Fax #: (405) 869-9605
County: OKLAHOMA
License: 1857
Dated: 7/12/2012
Expires: 10/31/2015
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
DAVITA MIDWEST CITY DIALYSIS
7221 E. RENO AVE
MIDWEST CITY OK 73110

Phone #: (405) 869-9600
Fax #: (405) 869-9605

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