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SULLIVAN, KENNETH LYNN
Practice Address: VA MEDICAL CENTER
OKLAHOMA CITY OK 73120
Phone #:
Fax #:
County: OKLAHOMA
License: 113
Dated: 1/12/1991
Expires: 10/31/1991
License Type: Provisional 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:
VA MEDICAL CENTER
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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