WOOTHTAKEWAHBITTY, JENIFER MAE - Licensee Information

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WOOTHTAKEWAHBITTY, JENIFER MAE

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:	SOUTH WESTERN NEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505
Phone #:
Fax #:
County:	COMANCHE
License:	281
Dated:	11/12/1998
Expires:	5/1/1999
Temp. Ltr. Issued:	10/19/1998
Temp. Ltr. Expires:	11/16/1998
License Type:	Provisional Respiratory Care
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
SOUTH WESTERN NEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505 Phone #: Fax #:

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