SPARKS, RAINA ANN - Licensee Information

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SPARKS, RAINA ANN

Practice Address:	MCALESTER CHOCTAW NATION CLINIC 1127 GEORGE NIGH EXPRESSWAY MCALESTER OK 74501 Address last updated on 10/10/2023
Phone #:	(918) 423-8440
Fax #:
County:	PITTSBURG
License:	457
Dated:	11/1/2004
Expires:	10/31/2007
Temp. Ltr. Issued:	8/19/2004
Temp. Ltr. Expires:	11/4/2004
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:
MCALESTER CHOCTAW NATION CLINIC 1127 GEORGE NIGH EXPRESSWAY MCALESTER OK 74501 Phone #: (918) 423-8440 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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