COOK, SHALIENA DAVENE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

COOK, SHALIENA DAVENE

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:	BRUMMIT & ASSOCIATES A NUTRITIONS SYSTEM COMPANY 404 LEGACY PARK SUITE A RIDGELAND MS 39157 Address last updated on 10/4/2024
Phone #:	(601) 984-3126
Fax #:
County:	NOT OKLAHOMA
License:	877
Dated:	11/1/2023
Expires:	10/31/2025
Temp. Ltr. Issued:	10/19/2023
Temp. Ltr. Expires:	11/16/2023
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:
BRUMMIT & ASSOCIATES A NUTRITIONS SYSTEM COMPANY 404 LEGACY PARK SUITE A RIDGELAND MS 39157 Phone #: (601) 984-3126 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CANDICE PAIGE NOYCE	LD	2253

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