WOLLENBERG, GENA SUELA - Licensee Information

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Last Update: Wednesday, May 15, 2024 7:09 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

WOLLENBERG, GENA SUELA

Practice Address:	OKLAHOMA STATE UNIVERSITY 301 NANCY RANDOLPH DAVIS STILLWATER OK 74078 Address last updated on 9/21/2023
Phone #:	(405) 744-6954
Fax #:
County:	PAYNE
License:	1662
Dated:	8/14/2009
Expires:	10/31/2024
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:
OKLAHOMA STATE UNIVERSITY 301 NANCY RANDOLPH DAVIS STILLWATER OK 74078 Phone #: (405) 744-6954 Fax #:

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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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