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BOURNE, NATALIE NICOLE |
Practice Address: |
ST. JOHN SIEGFRIED HEALTH CLUB
1819 E 19TH ST
TULSA OK 74104
Address last updated on 3/17/2017 |
Phone #: |
(918) 744-3392 |
Fax #: |
(918) 744-2610 |
County: |
TULSA |
License: |
1885 |
Dated: |
11/1/2012 |
Expires: |
10/31/2017 |
Temp.
Ltr.
Issued:
|
8/3/2012 |
Temp.
Ltr.
Expires:
|
11/9/2012 |
License Type: |
Licensed Dietitian |
Specialty: |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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