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Oklahoma Board of Medical Licensure and Supervision

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

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SUBLETT, MARY DIANE       
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: OKLAHOMA STATE DEPT OF HEALTH
BLAINE CO. HEALTH DEPT.
521 W. 4TH
WATONGA OK 73772

Address last updated on 12/19/2019
Phone #: (580) 623-7977
Fax #: (580) 623-7980
County: BLAINE
License: 406
Dated: 10/1/1985
Expires: 10/31/2018
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
OKLAHOMA STATE DEPT OF HEALTH
BLAINE CO. HEALTH DEPT.
521 W. 4TH
WATONGA OK 73772

Phone #: (580) 623-7977
Fax #: (580) 623-7980

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