HOLMES, TAWNI WELK - Licensee Information

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HOLMES, TAWNI WELK

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:	OKLAHOMA STATE UNIVERSITY 1514 W HALL OF FAME STILLWATER OK 74078-0618
Phone #:
Fax #:
County:	PAYNE
License:	193
Dated:	1/21/1993
Expires:	10/31/1994
Temp. Ltr. Issued:	8/6/1992
Temp. Ltr. Expires:	2/27/1993
License Type:	Provisional Dietitian
Specialty:

Status:	Inactive
Status Class:	Void
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:
OKLAHOMA STATE UNIVERSITY 1514 W HALL OF FAME STILLWATER OK 74078-0618 Phone #: Fax #:

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