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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 20, 2018 5:14 PM CDT
Next Update: Monday, May 21, 2018 2:50 AM CDT

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HANCOCK, LARISSA MARIE
Practice Address: WWH HASTINGS HOSPITAL
100 S. BLISS AVE
TAHLEQUAH OK 74464

Address last updated on 12/14/2017
Phone #: (918) 772-4702
Fax #:
County: CHEROKEE
License: 1905
Dated: 2/19/2013
Expires: 10/31/2018
Temp. Ltr. Issued: 12/28/2012
Temp. Ltr. Expires: 3/7/2013
License Type: Licensed Dietitian
Specialty:
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:
WWH HASTINGS HOSPITAL
100 S. BLISS AVE
TAHLEQUAH OK 74464

Phone #: (918) 772-4702
Fax #:

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