STEDMAN, JACQUE ANN - 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

STEDMAN, JACQUE ANN

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:	STILLWATER MEDICAL CENTER 610 S WALNUT STILLWATER OK 74074 Address last updated on 10/22/2024
Phone #:	(405) 533-3612
Fax #:
County:	PAYNE
License:	589
Dated:	2/8/1990
Expires:	10/31/2025
License Type:	Licensed Dietitian
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
STILLWATER MEDICAL CENTER 610 S WALNUT STILLWATER OK 74074 Phone #: (405) 533-3612 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
AISHWARYA SRINIVASAN	PD	789

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