ROYSE, SHANA MIKELL - Licensee Information

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ROYSE, SHANA MIKELL

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:	BETHANY GENERAL HOSPITAL 7600 NW 23RD BETHANY OK 73008 Address last updated on 11/5/2007
Phone #:
Fax #:
County:	OKLAHOMA
License:	634
Dated:	9/1/1990
Expires:	10/31/2008
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:
BETHANY GENERAL HOSPITAL 7600 NW 23RD BETHANY OK 73008 Phone #: Fax #:

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