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Last Update: Wednesday, April 24, 2024 4:32 AM CDT
Next Update: Wednesday, April 24, 2024 12:00 PM CDT
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LOGAN, JENNAFER DAWN |
| Practice Address: |
11716 NW 114TH STREET
YUKON OK 73099
Address last updated on 10/27/2023 |
| Phone #: |
(405) 816-2898 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
525 |
| Dated: |
6/29/2007 |
| Expires: |
10/31/2007 |
|
Temp.
Ltr.
Issued:
|
6/15/2007 |
|
Temp.
Ltr.
Expires:
|
6/29/2007 |
| License Type: |
Provisional Dietitian |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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