DORMAN, HEATHER MICHELLE - Licensee Information

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Last Update: Tuesday, April 23, 2024 5:07 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

DORMAN, HEATHER MICHELLE

Practice Address:	JACK C. MONTGOMERY VA MEDICAL CENTER 1011 HONOR HEIGHTS DR. MUSKOGEE OK 74401 Address last updated on 10/9/2023
Phone #:	(918) 577-3287
Fax #:
County:	MUSKOGEE
License:	673
Dated:	3/4/2014
Expires:	10/31/2014
Temp. Ltr. Issued:	12/13/2013
Temp. Ltr. Expires:	3/6/2014
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:
JACK C. MONTGOMERY VA MEDICAL CENTER 1011 HONOR HEIGHTS DR. MUSKOGEE OK 74401 Phone #: (918) 577-3287 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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