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Next Update: Sunday, May 19, 2024 2:50 AM CDT

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SRINIVASAN, AISHWARYA       
Practice Address: 1011 14TH AVENUE NW
ARDMORE OK 73401

Address last updated on 11/21/2022
Phone #:
Fax #:
County: CARTER
License: 2522
Dated: 7/24/2020
Expires: 10/31/2023
Temp. Ltr. Issued: 7/2/2020
Temp. Ltr. Expires: 7/30/2020
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:
1011 14TH AVENUE NW
ARDMORE OK 73401

Phone #:
Fax #:

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