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MOON, EVA MARIE
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| Practice Address: |
PUSHMATAHA HOSPITAL
510 EAST MAIN
ANTLERS OK 74523
Address last updated on 11/5/2012 |
| Phone #: |
(580) 298-3341 |
| Fax #: |
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| County: |
PUSHMATAHA |
| License: |
1268 |
| Dated: |
11/14/1996 |
| Expires: |
11/30/2014 |
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Temp.
Ltr.
Issued:
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4/27/2005 |
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Temp.
Ltr.
Expires:
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7/23/2005 |
| License Type: |
Respiratory Care Practitioner |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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