SOUTH, TRENTON WAYNE - Licensee Information

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SOUTH, TRENTON WAYNE

Practice Address:	JANE PHILLIPS MEDICAL CENTER 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74003 Address last updated on 11/29/2015
Phone #:	(918) 331-1795
Fax #:
County:	WASHINGTON
License:	1716
Dated:	11/2/1999
Expires:	11/30/2017
Temp. Ltr. Issued:	11/3/2010
Temp. Ltr. Expires:	7/15/2011
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:
JANE PHILLIPS MEDICAL CENTER 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74003 Phone #: (918) 331-1795 Fax #:

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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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