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BENNETT, EILEEN ELIZABETH       
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: 1201 YORK STREET
ALTUS OK 73521
Phone #:
Fax #:
County: JACKSON
License: 84
Dated: 1/11/1996
Expires: 11/1/1998
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Special 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:
1201 YORK STREET
ALTUS OK 73521

Phone #:
Fax #:

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