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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, October 20, 2018 3:18 AM CDT
Next Update: Saturday, October 20, 2018 12:00 PM CDT

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COPELAND, STEPHANIE LYNN
Practice Address: 1900 N. 14TH ST.
PONCA CITY OK 74601

Address last updated on 10/6/2018
Phone #: (580) 765-0269
Fax #:
County: KAY
License: 279
Dated: 9/11/1997
Expires: 10/31/1998
Temp. Ltr. Issued: 7/24/1997
Temp. Ltr. Expires: 9/13/1997
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
1900 N. 14TH ST.
PONCA CITY OK 74601

Phone #: (580) 765-0269
Fax #:

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