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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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PORTER, NEVIN ARIEL       
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: ASCENSION ST. JOHN OWASSO
12451 E. 100TH STREET NORTH
OWASSO OK 74055

Address last updated on 2/27/2024
Phone #: (918) 274-5000
Fax #:
County: TULSA
License: 1004
Dated: 11/2/2006
Expires: 11/30/2007
Temp. Ltr. Issued: 9/22/2006
Temp. Ltr. Expires: 11/4/2006
License Type: Provisional Respiratory Care
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:
ASCENSION ST. JOHN OWASSO
12451 E. 100TH STREET NORTH
OWASSO OK 74055

Phone #: (918) 274-5000
Fax #:

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