JIM, AMY CASSONDRA - Licensee Information

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

JIM, AMY CASSONDRA

Practice Address:	JACK C. MONTGOMERY VA MEDICAL CENTER 1011 HONOR HEIGHTS DR MUSKOGEE OK 74401 Address last updated on 10/2/2023
Phone #:	(918) 577-3048
Fax #:
County:	MUSKOGEE
License:	1133
Dated:	5/15/2008
Expires:	11/30/2009
Temp. Ltr. Issued:	3/21/2008
Temp. Ltr. Expires:	5/16/2008
License Type:	Provisional Respiratory Care
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) 577-3048 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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