WALLER, CATHERINE BANGERT - Licensee Information

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

WALLER, CATHERINE BANGERT

Practice Address:	OKLAHOMA CITY INDIAN CLINIC 4913 W RENO OKLAHOMA CITY OK 73127 Address last updated on 9/18/2023
Phone #:	(405) 948-4900
Fax #:
County:	OKLAHOMA
License:	335
Dated:	6/15/2000
Expires:	10/31/2000
Temp. Ltr. Issued:	6/7/2000
Temp. Ltr. Expires:	7/30/2000
License Type:	Provisional 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:
OKLAHOMA CITY INDIAN CLINIC 4913 W RENO OKLAHOMA CITY OK 73127 Phone #: (405) 948-4900 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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