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LOVE, JENNIFER MICHELE       
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: SHRINERS HOSPITAL FOR CHILDREN
3100 SAMFORD AVENUE
SHREVEPORT LA 71103

Address last updated on 4/13/2011
Phone #: (318) 226-3306
Fax #:
County: NOT OKLAHOMA
License: 1930
Dated: 12/10/2010
Expires: 3/31/2012
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
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:
SHRINERS HOSPITAL FOR CHILDREN
3100 SAMFORD AVENUE
SHREVEPORT LA 71103

Phone #: (318) 226-3306
Fax #:

Hospital Privileges:

None listed

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