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NIX, JACLYN LEKAY       
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: AMG SPECIALTY HOSPITAL OF TULSA
2408 E. 81ST ST
SUITE 2800
TULSA OK 74137

Address last updated on 11/2/2016
Phone #: (918) 574-6227
Fax #: (918) 710-3624
County: TULSA
License: 1956
Dated: 11/1/2013
Expires: 10/31/2017
Temp. Ltr. Issued: 10/11/2013
Temp. Ltr. Expires: 11/7/2013
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:
AMG SPECIALTY HOSPITAL OF TULSA
2408 E. 81ST ST
SUITE 2800
TULSA OK 74137

Phone #: (918) 574-6227
Fax #: (918) 710-3624

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