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Oklahoma Board of Medical Licensure and Supervision

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MITTAL, MAHALA B       
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: OSU MEDICAL CENTER
802 S JACKSON
TULSA OK 74127

Address last updated on 10/25/2022
Phone #: (918) 599-1000
Fax #:
County: TULSA
License: 1455
Dated: 11/3/2005
Expires: 10/31/2022
Temp. Ltr. Issued: 9/23/2005
Temp. Ltr. Expires: 11/5/2005
License Type: Occupational Therapist
Specialty: Traumatic Brain Injury (OT/OA only)
Acute Care (OT/OA only)
Activities of Daily Living (OT/OA only)
Home Assessment (OT/OA only)
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
OSU MEDICAL CENTER
802 S JACKSON
TULSA OK 74127

Phone #: (918) 599-1000
Fax #:

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