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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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JORDAN, CHARLENE DAWN       
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: CANADIAN COUNTY HEALTH DEPARTMENT
1023 EAST VANDAMENT
YUKON OK 73099-4949

Address last updated on 10/3/2024
Phone #: (405) 262-0042 x153
Fax #: (405) 262-2800
County: CANADIAN
License: 1058
Dated: 1/5/2000
Expires: 10/31/2025
Temp. Ltr. Issued: 10/29/1999
Temp. Ltr. Expires: 1/31/2000
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
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:
CANADIAN COUNTY HEALTH DEPARTMENT
1023 EAST VANDAMENT
YUKON OK 73099-4949

Phone #: (405) 262-0042 x153
Fax #: (405) 262-2800

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