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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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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: COVENANT MEDICAL CENTER-WOMEN'S AND CHILDREN
4000 24TH STREET
LUBBOCK TX 79410

Address last updated on 10/31/2010
Phone #: (806) 725-0000
Fax #:
County: NOT OKLAHOMA
License: 522
Dated: 6/29/2007
Expires: 10/31/2008
Temp. Ltr. Issued: 5/31/2007
Temp. Ltr. Expires: 6/29/2007
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:
COVENANT MEDICAL CENTER-WOMEN'S AND CHILDREN
4000 24TH STREET
LUBBOCK TX 79410

Phone #: (806) 725-0000
Fax #:

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