BLACK, CHALSIE RENEE - Licensee Information

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Last Update: Wednesday, April 17, 2024 6:57 PM CDT
Next Update: Thursday, April 18, 2024 2:50 AM CDT

BLACK, CHALSIE RENEE

Practice Address:	VIA CHRISTI REGIONAL MEDICAL CENTER 1900 N 14TH PONCA CITY OK 74601 Address last updated on 3/26/2002
Phone #:	(580) 763-0888
Fax #:
County:	KAY
License:	587
Dated:	3/6/2001
Expires:	9/30/2002
License Type:	Provisional Respiratory Care
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
VIA CHRISTI REGIONAL MEDICAL CENTER 1900 N 14TH PONCA CITY OK 74601 Phone #: (580) 763-0888 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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