Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

PHILLIPS-WALDROOP, AMY LISA       
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: CITY OF TULSA: TAAA
111 S GREENWOOD AVE #200
TULSA OK 74120

Address last updated on 5/24/2016
Phone #:
Fax #:
County: TULSA
License: 874
Dated: 3/8/1996
Expires: 10/31/2016
Temp. Ltr. Issued: 2/29/1996
Temp. Ltr. Expires: 3/22/1996
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:
CITY OF TULSA: TAAA
111 S GREENWOOD AVE #200
TULSA OK 74120

Phone #:
Fax #:

Return to Search Licensees page