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Oklahoma Board of Medical Licensure and Supervision

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CORBIN, ALEXIS NOEL       
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: PINK BUD NURSING HOME
400 SOUTH COKER
PO DRAWER 2000
GREENWOOD AR 72936

Address last updated on 9/8/2010
Phone #: (479) 996-4100
Fax #:
County: NOT OKLAHOMA
License: 1393
Dated: 6/24/2005
Expires: 10/31/2010
Temp. Ltr. Issued: 6/15/2005
Temp. Ltr. Expires: 11/3/2005
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2008
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:
PINK BUD NURSING HOME
400 SOUTH COKER
PO DRAWER 2000
GREENWOOD AR 72936

Phone #: (479) 996-4100
Fax #:

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