BLACK, LORI LEA - Licensee Information

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BLACK, LORI LEA

Practice Address:	MUSKOGEE REGIONAL MEDICAL CENTER 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Address last updated on 6/26/2003
Phone #:	(918) 684-2364
Fax #:
County:	MUSKOGEE
License:	2253
Dated:	6/26/2003
Expires:	6/30/2005
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:
MUSKOGEE REGIONAL MEDICAL CENTER 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Phone #: (918) 684-2364 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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