WALTERS, SERICCA LYNN - Licensee Information

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

WALTERS, SERICCA LYNN

Practice Address:	JACK C MONTGOMERY VA MEDICAL CENTER 1011 HONOR HEIGHTS DR MUSKOGEE OK 74401 Address last updated on 10/27/2023
Phone #:	(918) 577-3000
Fax #:
County:	MUSKOGEE
License:	771
Dated:	7/15/2019
Expires:	10/31/2019
Temp. Ltr. Issued:	4/2/2019
Temp. Ltr. Expires:	8/1/2019
License Type:	Provisional 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:
JACK C MONTGOMERY VA MEDICAL CENTER 1011 HONOR HEIGHTS DR MUSKOGEE OK 74401 Phone #: (918) 577-3000 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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