COLEMAN, GWEN DEANN - Licensee Information

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COLEMAN, GWEN DEANN

Practice Address:	HILLCREST EXERCISE & LIFESTYLE PROGRAMS 1265 S UTICA AVE, # 200 TULSA OK 74104 Address last updated on 3/23/2004
Phone #:	(918) 579-3384
Fax #:
County:	TULSA
License:	438
Dated:	3/23/2004
Expires:	10/31/2004
Temp. Ltr. Issued:	3/5/2004
Temp. Ltr. Expires:	5/27/2004
License Type:	Provisional 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:
HILLCREST EXERCISE & LIFESTYLE PROGRAMS 1265 S UTICA AVE, # 200 TULSA OK 74104 Phone #: (918) 579-3384 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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