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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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CHAN, KA-YAN MANDY
Practice Address: OKLAHOMA STATE UNIVERSITY MEDICAL CENTER
744 WEST 9TH STREET
TULSA OK 74127

Address last updated on 11/3/2023
Phone #: (918) 599-5704
Fax #: (918) 599-5708
County: TULSA
License: 537
Dated: 11/1/2007
Expires: 10/31/2008
Temp. Ltr. Issued: 7/19/2007
Temp. Ltr. Expires: 11/3/2007
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:
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER
744 WEST 9TH STREET
TULSA OK 74127

Phone #: (918) 599-5704
Fax #: (918) 599-5708

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