REID, PAMELA SUE - Licensee Information

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REID, PAMELA SUE

Practice Address:	NORTHEASTERN STATE UNIVERSITY 611 NORTH GRAND AVENUE TAHLEQUAH OK 74464-2304 Address last updated on 9/28/2016
Phone #:	(918) 444-2942
Fax #:
County:	CHEROKEE
License:	632
Dated:	1/12/1991
Expires:	10/31/2017
Temp. Ltr. Issued:	5/11/2012
Temp. Ltr. Expires:	7/13/2012
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:
NORTHEASTERN STATE UNIVERSITY 611 NORTH GRAND AVENUE TAHLEQUAH OK 74464-2304 Phone #: (918) 444-2942 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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