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COOPER, ALITA       
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: WOODWARD REGIONAL HOSPITAL
900 17TH ST
WOODWARD OK 73801

Address last updated on 11/22/2002
Phone #: (580) 254-8412
Fax #:
County: WOODWARD
License: 706
Dated: 11/21/2002
Expires: 5/31/2003
Temp. Ltr. Issued: 10/24/2002
Temp. Ltr. Expires: 11/23/2002
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:
WOODWARD REGIONAL HOSPITAL
900 17TH ST
WOODWARD OK 73801

Phone #: (580) 254-8412
Fax #:

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