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Oklahoma Board of Medical Licensure and Supervision

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NESSEL, LISA GAIL       
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: VALLEY REGIONAL HOSPITAL
430 N MONTA VISTA
ADA OK 74820

Address last updated on 9/9/2004
Phone #: (580) 332-2323
Fax #:
County: PONTOTOC
License: 836
Dated: 9/9/2004
Expires: 9/30/2006
Temp. Ltr. Issued: 8/19/2004
Temp. Ltr. Expires: 9/25/2004
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:
VALLEY REGIONAL HOSPITAL
430 N MONTA VISTA
ADA OK 74820

Phone #: (580) 332-2323
Fax #:

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