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VAN GREVENHOF, JANI 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: 2103 PONY EXPRESS TRAIL
EDMOND OK 73003

Address last updated on 10/30/2017
Phone #:
Fax #:
County: OKLAHOMA
License: 999
Dated: 12/30/1998
Expires: 10/31/2018
Temp. Ltr. Issued: 11/5/1998
Temp. Ltr. Expires: 1/31/1999
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:
2103 PONY EXPRESS TRAIL
EDMOND OK 73003

Phone #:
Fax #:

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