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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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WILLIAMS, ALYSSA JADE       
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: 783 GRAND CASINO BLVD
SHAWNEE OK 73049

Address last updated on 9/2/2024
Phone #: (903) 272-7058
Fax #:
County: OKLAHOMA
License: 726
Dated: 11/1/2016
Expires: 10/31/2017
Temp. Ltr. Issued: 8/11/2016
Temp. Ltr. Expires: 11/4/2016
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:
783 GRAND CASINO BLVD
SHAWNEE OK 73049

Phone #: (903) 272-7058
Fax #:

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