FULLER, KATHERYN J - Licensee Information

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

FULLER, KATHERYN J

Practice Address:	NORTHEASTERN STATE UNIVERSITY 2400 WEST SHAWNEE ST MUSKOGEE OK 74401 Address last updated on 10/2/2023
Phone #:	(918) 444-2942 x36075
Fax #:
County:	OKLAHOMA
License:	1516
Dated:	6/29/2007
Expires:	10/31/2024
Temp. Ltr. Issued:	8/13/2021
Temp. Ltr. Expires:	11/18/2021
License Type:	Licensed Dietitian
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
NORTHEASTERN STATE UNIVERSITY 2400 WEST SHAWNEE ST MUSKOGEE OK 74401 Phone #: (918) 444-2942 x36075 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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