SMITH, JESSICA LEIGH - Licensee Information

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

SMITH, JESSICA LEIGH

Practice Address:	CORAM CVS SPECIALTY INFUSION SERVICES 5924 NW 2ND ST SUITE 100 OKLAHOMA CITY OK 73127 Address last updated on 10/25/2023
Phone #:	(918) 202-3163
Fax #:
County:	OKLAHOMA
License:	440
Dated:	6/17/2004
Expires:	10/31/2005
Temp. Ltr. Issued:	4/9/2004
Temp. Ltr. Expires:	7/31/2004
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:
CORAM CVS SPECIALTY INFUSION SERVICES 5924 NW 2ND ST SUITE 100 OKLAHOMA CITY OK 73127 Phone #: (918) 202-3163 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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