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Oklahoma Board of Medical Licensure and Supervision

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SEABOLT, LYNN ALLEN       
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: TULSA INDIAN HEALTH CARE RESOURCE CENTER
550 S PEORIA AVE
TULSA OK 74120-3820

Address last updated on 10/20/2004
Phone #: (918) 588-1900
Fax #:
County: TULSA
License: 1285
Dated: 11/1/2003
Expires: 10/31/2005
Temp. Ltr. Issued: 7/10/2003
Temp. Ltr. Expires: 10/31/2003
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:
TULSA INDIAN HEALTH CARE RESOURCE CENTER
550 S PEORIA AVE
TULSA OK 74120-3820

Phone #: (918) 588-1900
Fax #:

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