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Oklahoma Board of Medical Licensure and Supervision

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GOZA, HEATHER COX       
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: LIFELINE DIABETIC
201 3RD AVENUE NORTH
AMORY MS 38821

Address last updated on 10/22/2012
Phone #: (662) 597-9200 x234
Fax #:
County: NOT OKLAHOMA
License: 141
Dated: 10/22/2012
Expires: 1/31/2014
License Type: Licensed Pedorthist
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:
LIFELINE DIABETIC
201 3RD AVENUE NORTH
AMORY MS 38821

Phone #: (662) 597-9200 x234
Fax #:

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