PENICHE, TASHA TENIKA - Licensee Information

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PENICHE, TASHA TENIKA

Practice Address:	COMANCHE COUNTY MEMORIAL HOSPITAL 3401 W GORE BLVD LAWTON OK 73505 Address last updated on 3/10/2004
Phone #:	(580) 250-5815
Fax #:
County:	COMANCHE
License:	787
Dated:	3/10/2004
Expires:	9/30/2004
Temp. Ltr. Issued:	12/19/2003
Temp. Ltr. Expires:	3/27/2004
License Type:	Provisional Respiratory Care
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:
COMANCHE COUNTY MEMORIAL HOSPITAL 3401 W GORE BLVD LAWTON OK 73505 Phone #: (580) 250-5815 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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