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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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PINA, FATIMA       
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: 8151 S HWY 177
RED ROCK OK 74651

Address last updated on 9/11/2020
Phone #: (405) 744-6927
Fax #:
County: PAYNE
License: 553
Dated: 6/17/2008
Expires: 10/31/2008
Temp. Ltr. Issued: 5/9/2008
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:
8151 S HWY 177
RED ROCK OK 74651

Phone #: (405) 744-6927
Fax #:

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