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Oklahoma Board of Medical Licensure and Supervision

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WILLIAMS, JAMISON DAVID       
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: BLACK HAWK HEALTH CENTER
356110 E 930 RD
STROUD OK 74079

Address last updated on 10/31/2017
Phone #: (918) 968-9531 x3042
Fax #:
County: OKLAHOMA
License: 2037
Dated: 2/25/2015
Expires: 10/31/2018
Temp. Ltr. Issued: 1/20/2015
Temp. Ltr. Expires: 3/13/2015
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:
BLACK HAWK HEALTH CENTER
356110 E 930 RD
STROUD OK 74079

Phone #: (918) 968-9531 x3042
Fax #:

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