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Last Update: Friday, May 10, 2024 12:08 PM CDT
Next Update: Friday, May 10, 2024 4:30 PM CDT
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STACKHOUSE, LOGAN
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| Practice Address: |
ELMBROOK HOME
1811 9TH AE NW
ARDMORE OK 73401
Address last updated on 10/10/2023 |
| Phone #: |
(580) 223-3303 |
| Fax #: |
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| County: |
CARTER |
| License: |
2676 |
| Dated: |
3/4/2022 |
| Expires: |
10/31/2024 |
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Temp.
Ltr.
Issued:
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1/3/2022 |
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Temp.
Ltr.
Expires:
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3/10/2022 |
| License Type: |
Licensed Dietitian |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
0 |
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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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