Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

MARTIN, ANGELIQUE 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: THE PERINATAL CENTER
4140 W. MEMORIAL RD
SUITE 321
OKLAHOMA CITY OK 73120

Address last updated on 9/17/2024
Phone #: (405) 748-4726 x1125
Fax #: (405) 607-8497
County: OKLAHOMA
License: 270
Dated: 5/22/1997
Expires: 10/31/1998
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:
THE PERINATAL CENTER
4140 W. MEMORIAL RD
SUITE 321
OKLAHOMA CITY OK 73120

Phone #: (405) 748-4726 x1125
Fax #: (405) 607-8497

Return to Search Licensees page