BENNETT, TIFFANY MARIE - Licensee Information

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

BENNETT, TIFFANY MARIE

Practice Address:	STILLWATER MEDICAL BLACKWELL 710 SOUTH 13TH STREET BLACKWELL OK 74631-3700 Address last updated on 11/21/2023
Phone #:	(580) 363-9330
Fax #:
County:	KAY
License:	831
Dated:	9/9/2004
Expires:	9/30/2005
Temp. Ltr. Issued:	7/30/2004
Temp. Ltr. Expires:	9/25/2004
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:
STILLWATER MEDICAL BLACKWELL 710 SOUTH 13TH STREET BLACKWELL OK 74631-3700 Phone #: (580) 363-9330 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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