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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 9:10 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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DAVIS, JORDAN MACKENZIE
Practice Address: DIETARY CONSULTING
1204 DEWEY AVE
POTEAU OK 74953

Address last updated on 9/6/2023
Phone #: (918) 647-8601
Fax #:
County: LEFLORE
License: 764
Dated: 1/11/2019
Expires: 10/31/2019
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:
DIETARY CONSULTING
1204 DEWEY AVE
POTEAU OK 74953

Phone #: (918) 647-8601
Fax #:

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