DAUGHERTY, EDNA FAYE - Licensee Information

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DAUGHERTY, EDNA FAYE

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:	1621 OAKWOOD DRIVE NORMAN OK 73069-4448
Phone #:
Fax #:
County:	CLEVELAND
License:	200
Dated:	7/1/1993
Expires:	10/31/1994
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:
1621 OAKWOOD DRIVE NORMAN OK 73069-4448 Phone #: Fax #:

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