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Oklahoma Board of Medical Licensure and Supervision

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MILLER, MARY JUANITA       
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: OKLAHOMA SURGICAL HOSPITAL
2408 E 81ST ST.
TULSA OK 74137

Address last updated on 3/13/2023
Phone #: (918) 477-5000
Fax #:
County: TULSA
License: 1153
Dated: 5/15/2008
Expires: 11/30/2008
Temp. Ltr. Issued: 4/18/2008
Temp. Ltr. Expires: 5/16/2008
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:
OKLAHOMA SURGICAL HOSPITAL
2408 E 81ST ST.
TULSA OK 74137

Phone #: (918) 477-5000
Fax #:

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