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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, January 19, 2018 2:24 PM CST
Next Update: Friday, January 19, 2018 4:30 PM CST

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DAIGLE, PAM RENE
Practice Address: TULSA HEALTH DEPARTMENT
5051 S 129 E AVE
TULSA OK 74134

Address last updated on 10/2/2017
Phone #: (918) 595-4517
Fax #: (918) 595-4503
County: TULSA
License: 538
Dated: 11/1/2007
Expires: 10/31/2008
Temp. Ltr. Issued: 7/26/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
TULSA HEALTH DEPARTMENT
5051 S 129 E AVE
TULSA OK 74134

Phone #: (918) 595-4517
Fax #: (918) 595-4503

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