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NOLL, MARC ALAN       
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: EASTERN STATE HOSPITAL
PO BOX 69
VINITA OK 74301

Address last updated on 10/24/2012
Phone #:
Fax #:
County: CRAIG
License: 78
Dated: 1/13/1990
Expires: 10/31/1990
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
EASTERN STATE HOSPITAL
PO BOX 69
VINITA OK 74301

Phone #:
Fax #:

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