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Oklahoma Board of Medical Licensure and Supervision

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PERRY, AUDRA JEANETTE       
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: VA MEDICAL CENTER
100 N UNIVERSITY
EDMOND OK 73034
Phone #:
Fax #:
County: OKLAHOMA
License: 114
Dated: 1/12/1991
Expires: 10/31/1991
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
VA MEDICAL CENTER
100 N UNIVERSITY
EDMOND OK 73034

Phone #:
Fax #:

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