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Oklahoma Board of Medical Licensure and Supervision

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ELIZALDE, BRANDI LINETTE       
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

Address last updated on 5/11/2006
Phone #: (405) 636-7020
Fax #:
County: OKLAHOMA
License: 954
Dated: 5/11/2006
Expires: 5/30/2007
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Written agreement
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

Phone #: (405) 636-7020
Fax #:

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