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HUMPHREY, ANDREA SUE       
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: OKLAHOMA CITY UNIVERSITY
OKLAHOMA CITY OK 73106
Phone #:
Fax #:
County: OKLAHOMA
License: 194
Dated: 5/10/1996
Expires: 8/31/1996
Temp. Ltr. Issued: 1/31/1996
Temp. Ltr. Expires: 5/11/1996
License Type: Apprentice Athletic Trainer
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:
OKLAHOMA CITY UNIVERSITY
OKLAHOMA CITY OK 73106

Phone #:
Fax #:

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