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Oklahoma Board of Medical Licensure and Supervision

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SHOUSE, MCKALA DAWN       
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: HILLCREST MEDICAL CENTER
1120 S. UTICA AVE
TULSA OK 74104

Address last updated on 11/21/2014
Phone #: (918) 579-2350
Fax #:
County: TULSA
License: 1581
Dated: 2/25/2015
Expires: 8/31/2015
Temp. Ltr. Issued: 11/24/2014
Temp. Ltr. Expires: 3/13/2015
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:
HILLCREST MEDICAL CENTER
1120 S. UTICA AVE
TULSA OK 74104

Phone #: (918) 579-2350
Fax #:

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