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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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DERBY, MCKENZIE RILEY       
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: OU HEALTH
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 12/5/2024
Phone #: (405) 271-4581
Fax #:
County: OKLAHOMA
License: 2349
Dated:
Expires: 3/13/2025
Temp. Ltr. Issued: 12/11/2024
Temp. Ltr. Expires: 3/13/2025
License Type: Provisional Respiratory Care
Specialty:
Status: Active
Status Class: Temporary
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:
OU HEALTH
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4581
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LORI DAWN NAISMITH RC 3335

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