PAVNICA, DEBORAH ANN - Licensee Information

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PAVNICA, DEBORAH ANN

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:	UNIVERSITY OF TULSA REYNOLDS CENTER 600 S COLLEGE AVENUE TULSA OK 74104-3189
Phone #:
Fax #:
County:	TULSA
License:	223
Dated:	1/21/1999
Expires:	8/31/2001
Temp. Ltr. Issued:	8/13/1998
Temp. Ltr. Expires:	1/23/1999
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:
UNIVERSITY OF TULSA REYNOLDS CENTER 600 S COLLEGE AVENUE TULSA OK 74104-3189 Phone #: Fax #:

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