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CARLSON, NANCY J       
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: COMPHEALTH
SALT LAKE CITY UT 84121

Address last updated on 8/4/2017
Phone #: (801) 930-3827
Fax #:
County: NOT OKLAHOMA
License: 32541
Dated: 8/19/2016
Expires: 8/1/2018
Temp. Lic. Issued: 8/3/2016
Temp. Lic. Expires: 9/23/2016
License Type: Medical Doctor
Specialty: Maternal & Fetal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 6 / 1982
CME Year: 2019
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 OBSTETRICS AND GYNECOLOGY
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Maternal & Fetal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMPHEALTH
SALT LAKE CITY UT 84121

Phone #: (801) 930-3827
Fax #:

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