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Oklahoma Board of Medical Licensure and Supervision

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MITCHELL, KIMBERLY DIAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: OSU MEDICAL CENTER
744 WEST 9TH ST
TULSA OK 74127

Address last updated on 8/31/2012
Phone #: (918) 599-5111
Fax #:
County: TULSA
License: 1553
Dated: 8/28/1998
Expires: 8/31/2014
License Type: Respiratory Care Practitioner
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:
OSU MEDICAL CENTER
744 WEST 9TH ST
TULSA OK 74127

Phone #: (918) 599-5111
Fax #:

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