BEBOW, ELIZABETH NICOLE - Licensee Information

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

BEBOW, ELIZABETH NICOLE

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:	SCOTT SABOLICH PROSTHETICS AND RESEARCH 10201 BROADWAY EXT OKLAHOMA CITY OK 73114 Address last updated on 6/9/2023
Phone #:	(405) 841-6800
Fax #:
County:	OKLAHOMA
License:	131
Dated:	8/17/2023
Expires:	12/31/2024
Temp. Ltr. Issued:	8/9/2023
Temp. Ltr. Expires:	9/14/2023
License Type:	Licensed Prosthetist/Orthotist
Specialty:

Status:	Active
Status Class:	Fully Licensed
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:
SCOTT SABOLICH PROSTHETICS AND RESEARCH 10201 BROADWAY EXT OKLAHOMA CITY OK 73114 Phone #: (405) 841-6800 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KYLE ANDREW WAGNER	LPR	28

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