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Oklahoma Board of Medical Licensure and Supervision

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GREEN, CATHY 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: MONTE VISTA NURSING AND REHAB
7604 QUANAH PARKER TRAILWAY
LAWTON OK 73505

Address last updated on 2/16/2011
Phone #: (580) 536-2866
Fax #:
County: COMANCHE
License: 1060
Dated: 1/5/2000
Expires: 10/31/2011
Temp. Ltr. Issued: 12/10/2010
Temp. Ltr. Expires: 3/11/2011
License Type: Licensed Dietitian
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:
MONTE VISTA NURSING AND REHAB
7604 QUANAH PARKER TRAILWAY
LAWTON OK 73505

Phone #: (580) 536-2866
Fax #:

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