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BIVINS, SHARON LYNN       
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: 12118 LANTZ LANE
MORENO VALLEY CA 92555-2122

Address last updated on 8/24/2011
Phone #: (951) 247-1356
Fax #:
County: NOT OKLAHOMA
License: 12010
Dated: 9/15/1978
Expires: 9/1/2011
License Type: Medical Doctor
Specialty: Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1977
CME Year: 2012
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.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
12118 LANTZ LANE
MORENO VALLEY CA 92555-2122

Phone #: (951) 247-1356
Fax #:

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