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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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CANADY, JENNA C       
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: 3300 HEALTHPLEX PKWY
NORMAN OK 73072

Address last updated on 11/10/2024
Phone #:
Fax #:
County: CLEVELAND
License: 845
Dated: 10/11/2022
Expires: 10/31/2025
Temp. Ltr. Issued: 8/1/2022
Temp. Ltr. Expires: 11/17/2022
License Type: Provisional Dietitian
Specialty:
Status: Active
Status Class: Provisional 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:
3300 HEALTHPLEX PKWY
NORMAN OK 73072

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JORDAN LYNN PIERCE LD 2633

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