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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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WILLARD, MISTY DAWN       
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: SSM HEALTH ST. ANTHONY HEALTHPLEX SOUTH ER
13500 S. TULSA DRIVE
OKLAHOMA CITY OK 73170

Address last updated on 5/7/2023
Phone #: (405) 815-5600
Fax #:
County: OKLAHOMA
License: 950
Dated: 2/15/2006
Expires: 2/28/2007
Temp. Ltr. Issued: 1/19/2006
Temp. Ltr. Expires: 3/11/2006
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:
SSM HEALTH ST. ANTHONY HEALTHPLEX SOUTH ER
13500 S. TULSA DRIVE
OKLAHOMA CITY OK 73170

Phone #: (405) 815-5600
Fax #:

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