GIPSON, MADISON PAIGE - Licensee Information

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Last Update: Monday, April 29, 2024 2:28 PM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

GIPSON, MADISON PAIGE

Practice Address:	Not Practicing as of 11/5/2023 Address last updated on 11/5/2023
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	864
Dated:	4/20/2023
Expires:	10/31/2024
Temp. Ltr. Issued:	2/23/2023
Temp. Ltr. Expires:	5/11/2023
License Type:	Provisional Dietitian
Specialty:

Status:	Active
Status Class:	Not Practicing
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:
Not Practicing as of 11/5/2023 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SANDRA LITTLE KEITH	LD	611

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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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