SWENSON, CAROLYN ANN - Licensee Information

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SWENSON, CAROLYN 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:	BROKEN ARROW MEDICAL CENTER 3000 S ELM PLACE BROKEN ARROW OK 74012 Address last updated on 12/23/1999
Phone #:
Fax #:
County:	TULSA
License:	808
Dated:	12/22/1994
Expires:	10/31/2000
Temp. Ltr. Issued:	8/4/1994
Temp. Ltr. Expires:	3/25/1995
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:
BROKEN ARROW MEDICAL CENTER 3000 S ELM PLACE BROKEN ARROW OK 74012 Phone #: Fax #:

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