MATTINGLY, KATHY ANN - Licensee Information

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

MATTINGLY, KATHY ANN

Practice Address:	JACK MONTGOMERY VA 1101 HONOR HEIGHTS DRIVE MUSKOGEE OK 74401 Address last updated on 6/16/2011
Phone #:	(918) 577-3000
Fax #:
County:	MUSKOGEE
License:	311
Dated:	1/18/1985
Expires:	10/31/2011
License Type:	Licensed Dietitian
Specialty:

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

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:
JACK MONTGOMERY VA 1101 HONOR HEIGHTS DRIVE MUSKOGEE OK 74401 Phone #: (918) 577-3000 Fax #:

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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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