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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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ETHRIEDGE, ASHLEY LYNN       
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: OUH GENETICS METABOLIC CLINIC
1200 CHILDREN'S AVE
SUITE 12100
OKLAHOMA CITY OK 73104

Address last updated on 10/10/2024
Phone #: (405) 271-4211
Fax #: (405) 271-2645
County: OKLAHOMA
License: 437
Dated: 3/23/2004
Expires: 10/31/2004
Temp. Ltr. Issued: 2/26/2004
Temp. Ltr. Expires: 3/27/2004
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
OUH GENETICS METABOLIC CLINIC
1200 CHILDREN'S AVE
SUITE 12100
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4211
Fax #: (405) 271-2645

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