TAYLOR, GABRIELLE DAWN - 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

TAYLOR, GABRIELLE 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:	LAUREATE - EATING DISORDER 6655 SOUTH YALE AVENUE TULSA OK 74136 Address last updated on 10/8/2024
Phone #:	(918) 491-5696
Fax #:
County:	TULSA
License:	1395
Dated:	11/3/2005
Expires:	10/31/2025
Temp. Ltr. Issued:	8/25/2005
Temp. Ltr. Expires:	11/5/2005
License Type:	Licensed Dietitian
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
LAUREATE - EATING DISORDER 6655 SOUTH YALE AVENUE TULSA OK 74136 Phone #: (918) 491-5696 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LIESL RENATA KRAUTTER	PD	800
TAYLOR LAUREN MATHEWS	PD	717

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