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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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MEDLEY, SHANNON JAMESON       
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: INTERVENTIONAL PAIN MANAGEMENT
13601 MEMORIAL PARK DR SUITE 200
OKLAHOMA CITY OK 73120-1856

Address last updated on 7/11/2024
Phone #: (405) 340-2100
Fax #:
County: OKLAHOMA
License: 410
Dated: 6/6/2002
Expires: 10/31/2002
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:
INTERVENTIONAL PAIN MANAGEMENT
13601 MEMORIAL PARK DR SUITE 200
OKLAHOMA CITY OK 73120-1856

Phone #: (405) 340-2100
Fax #:

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