PITTS, MODANA LYNN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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PITTS, MODANA LYNN

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:	SOUTHWEST MEDICAL CENTER 4401 SOUTH WESTERN OKLAHOMA CITY OK 73109-3441 Address last updated on 9/20/2013
Phone #:	(405) 636-7070
Fax #:
County:	OKLAHOMA
License:	815
Dated:	6/15/2004
Expires:	6/30/2005
Temp. Ltr. Issued:	4/8/2004
Temp. Ltr. Expires:	6/25/2004
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:
SOUTHWEST MEDICAL CENTER 4401 SOUTH WESTERN OKLAHOMA CITY OK 73109-3441 Phone #: (405) 636-7070 Fax #:

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