GREEN, CATHY ANN - Licensee Information

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GREEN, CATHY ANN

Practice Address:	MONTE VISTA NURSING AND REHAB 7604 QUANAH PARKER TRAILWAY LAWTON OK 73505 Address last updated on 2/16/2011
Phone #:	(580) 536-2866
Fax #:
County:	COMANCHE
License:	1060
Dated:	1/5/2000
Expires:	10/31/2011
Temp. Ltr. Issued:	12/10/2010
Temp. Ltr. Expires:	3/11/2011
License Type:	Licensed Dietitian
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:
MONTE VISTA NURSING AND REHAB 7604 QUANAH PARKER TRAILWAY LAWTON OK 73505 Phone #: (580) 536-2866 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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