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BOLES, SUZANNE M       
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: NOURISH NUTRITION AND DIABETES
1601 S. STATE ST.
STE 500
EDMOND OK 73013-3698

Address last updated on 10/27/2020
Phone #: (405) 254-6453
Fax #:
County: OKLAHOMA
License: 2362
Dated: 11/8/2018
Expires: 10/31/2021
Temp. Ltr. Issued: 10/12/2018
Temp. Ltr. Expires: 11/8/2018
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:
NOURISH NUTRITION AND DIABETES
1601 S. STATE ST.
STE 500
EDMOND OK 73013-3698

Phone #: (405) 254-6453
Fax #:

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