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CHELENZA, CONNIE M       
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: TEXOMA ORTHOTICS AND PROSTHETICS PLLC
1915 W GORE BLVD SUITE 1
LAWTON OK 73501-3661

Address last updated on 1/9/2013
Phone #: (580) 699-8690
Fax #: (580) 699-8692
County: COMANCHE
License: 52
Dated: 7/14/2011
Expires: 12/31/2013
License Type: Licensed Orthotist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
TEXOMA ORTHOTICS AND PROSTHETICS PLLC
1915 W GORE BLVD SUITE 1
LAWTON OK 73501-3661

Phone #: (580) 699-8690
Fax #: (580) 699-8692

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