ELLIS, EMILY JOY - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

ELLIS, EMILY JOY

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:	UNIVERSITY OF OKLAHOMA MEDICAL CENTER AT OU HEALTH 700 NE 13TH ST OKLAHOMA CITY OK 73104 Address last updated on 9/20/2024
Phone #:	(405) 271-8001 x36075
Fax #:
County:	OKLAHOMA
License:	3089
Dated:
Expires:	3/20/2025
Temp. Ltr. Issued:	10/9/2024
Temp. Ltr. Expires:	3/20/2025
License Type:	Licensed Dietitian
Specialty:

Status:	Active
Status Class:	Temporary
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:
UNIVERSITY OF OKLAHOMA MEDICAL CENTER AT OU HEALTH 700 NE 13TH ST OKLAHOMA CITY OK 73104 Phone #: (405) 271-8001 x36075 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
LISA REILY BURROUGHS	LD	1182

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