CARPENTER, SHANNON MARIE - Licensee Information

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

CARPENTER, SHANNON MARIE

Practice Address:	DAVITA TAHLEQUAH DIALYSIS 1373 E BOONE ST TAHLEQUAH OK 74464 Address last updated on 10/27/2022
Phone #:	(501) 580-6469
Fax #:	(918) 431-0623
County:	CHEROKEE
License:	2433
Dated:	7/15/2019
Expires:	10/31/2023
License Type:	Licensed Dietitian
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:
DAVITA TAHLEQUAH DIALYSIS 1373 E BOONE ST TAHLEQUAH OK 74464 Phone #: (501) 580-6469 Fax #: (918) 431-0623

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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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