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Oklahoma Board of Medical Licensure and Supervision

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MONTGOMERY, JUDITH 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: CHEROKEE INDIAN NATION
PO BOX 350
JAY OK 74346-0350

Address last updated on 9/7/2001
Phone #: (918) 253-4271 x218
Fax #:
County: DELAWARE
License: 779
Dated: 3/19/1994
Expires: 10/31/2003
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:
CHEROKEE INDIAN NATION
PO BOX 350
JAY OK 74346-0350

Phone #: (918) 253-4271 x218
Fax #:

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