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Oklahoma Board of Medical Licensure and Supervision

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RENFROW, RAINE LEIGH       
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: EAST TULSA DIALYSIS
5147 S. GARNETT
TULSA OK 74107

Address last updated on 10/12/2007
Phone #: (918) 250-3427
Fax #:
County: TULSA
License: 1464
Dated: 11/2/2006
Expires: 10/31/2008
Temp. Ltr. Issued: 9/22/2006
Temp. Ltr. Expires: 11/4/2006
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
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:
EAST TULSA DIALYSIS
5147 S. GARNETT
TULSA OK 74107

Phone #: (918) 250-3427
Fax #:

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