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Oklahoma Board of Medical Licensure and Supervision

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SMITH, MADISON HANNAH       
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: DIETARY CONSULTING
115 W 3RD STREET #800
TULSA OK 74103

Address last updated on 10/11/2018
Phone #: (918) 585-3045
Fax #:
County: TULSA
License: 2371
Dated: 11/8/2018
Expires: 10/31/2019
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:
DIETARY CONSULTING
115 W 3RD STREET #800
TULSA OK 74103

Phone #: (918) 585-3045
Fax #:

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