BURROUGHS, LISA REILY - Licensee Information

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

BURROUGHS, LISA REILY

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 CHILDREN'S HOSPITAL AT OU HEALTH 1200 CHILDREN'S AVE PHONE EXT 36075 OKLAHOMA CITY OK 73104 Address last updated on 10/14/2024
Phone #:	(405) 271-8001 x3607
Fax #:
County:	OKLAHOMA
License:	1182
Dated:	11/8/2001
Expires:	10/31/2025
Temp. Ltr. Issued:	1/31/2008
Temp. Ltr. Expires:	3/15/2008
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:
OKLAHOMA CHILDREN'S HOSPITAL AT OU HEALTH 1200 CHILDREN'S AVE PHONE EXT 36075 OKLAHOMA CITY OK 73104 Phone #: (405) 271-8001 x3607 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
EMILY JOY ELLIS	LD	3089

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