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Oklahoma Board of Medical Licensure and Supervision

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HINZ, SHANE       
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: OU MEDICAL CENTER
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 1/7/2011
Phone #: (405) 271-5007
Fax #:
County: OKLAHOMA
License: 55
Dated: 1/7/2011
Expires: 11/30/2012
License Type: Therapeutic Recreation Specialist
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:
OU MEDICAL CENTER
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5007
Fax #:

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