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Oklahoma Board of Medical Licensure and Supervision

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KOEHN, LAURA JANE       
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: 2100 GREEN ACRES RD
FAYETTEVILLE AR 72703

Address last updated on 6/2/2009
Phone #: (479) 521-3363
Fax #: (479) 521-4167
County: NOT OKLAHOMA
License: 7634
Dated: 6/1/1960
Expires: 6/1/2009
License Type: Medical Doctor
Specialty: Allergy
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1960
CME Year: 2010
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 ALLERGY AND IMMUNOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2100 GREEN ACRES RD
FAYETTEVILLE AR 72703

Phone #: (479) 521-3363
Fax #: (479) 521-4167
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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