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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CARROLL, NICOLE A       
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: OKLA ST HLTH DEPT
123 ROBERT S KERR
OKLAHOMA CITY OK 73102

Address last updated on 9/3/2024
Phone #: (405) 886-2111
Fax #: (405) 900-7576
County: OKLAHOMA
License: 257
Dated: 7/16/1996
Expires: 10/31/1997
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:
OKLA ST HLTH DEPT
123 ROBERT S KERR
OKLAHOMA CITY OK 73102

Phone #: (405) 886-2111
Fax #: (405) 900-7576

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