ARVOLD, ANDREA ROSE - Licensee Information

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ARVOLD, ANDREA ROSE

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:	UNITY HEALTH CENTER 1102 WEST MACARTHUR STREET SHAWNEE OK 74804 Address last updated on 11/10/2010
Phone #:
Fax #:
County:	POTTAWATOMIE
License:	551
Dated:	6/17/2008
Expires:	10/31/2008
Temp. Ltr. Issued:	3/21/2008
Temp. Ltr. Expires:	6/27/2008
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:
UNITY HEALTH CENTER 1102 WEST MACARTHUR STREET SHAWNEE OK 74804 Phone #: Fax #:

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