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Next Update: Saturday, May 4, 2024 2:50 AM CDT
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SHEPHERD, MOLLY TYNER |
Practice Address: |
902 W. WABASH
ENID OK 73701
Address last updated on 10/31/2012 |
Phone #: |
(580) 249-4117 |
Fax #: |
(580) 249-4118 |
County: |
GARFIELD |
License: |
319 |
Dated: |
6/25/1999 |
Expires: |
10/31/1999 |
Temp.
Ltr.
Issued:
|
6/4/1999 |
Temp.
Ltr.
Expires:
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7/24/1999 |
License Type: |
Provisional Dietitian |
Specialty: |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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CME Year: |
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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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