ARCHBOLD, LISA ANNE - Licensee Information

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ARCHBOLD, LISA ANNE

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 STATE UNIVERSITY STUDENT HEALTH CENTER STILLWATER OK 74075 Address last updated on 12/23/1999
Phone #:
Fax #:
County:	PAYNE
License:	110
Dated:	3/19/1994
Expires:	8/31/1994
Temp. Ltr. Issued:	10/1/1993
Temp. Ltr. Expires:	3/19/1994
License Type:	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 STATE UNIVERSITY STUDENT HEALTH CENTER STILLWATER OK 74075 Phone #: Fax #:

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