CUPP, NICOLE LYNN - Licensee Information - Oklahoma Medical Board

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

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CUPP, NICOLE LYNN

Practice Address:	ADVANCED PODIATRY OF BARTLESVILLE 234 SE DEBELL AVE BARTLESVILLE OK 74006 Address last updated on 7/2/2020
Phone #:	(918) 876-0476
Fax #:	(918) 876-0479
County:	WASHINGTON
License:	301
Dated:	7/9/2013
Expires:	6/30/2024
Temp. Ltr. Issued:	4/1/2013
Temp. Ltr. Expires:	7/15/2013
License Type:	Podiatrist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
CME Year:	2024

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.

Hospital Privileges:	None listed

Locations:	Hours:	Languages:
ADVANCED PODIATRY OF BARTLESVILLE 234 SE DEBELL AVE BARTLESVILLE OK 74006 Phone #: (918) 876-0476 Fax #: (918) 876-0479

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European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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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