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Oklahoma Board of Medical Licensure and Supervision

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KILBURN, CAROLYN ANN       
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: BASS LONG TERM ACUTE CARE FACILITY
401 S THIRD ST
ENID OK 73701

Address last updated on 2/18/2003
Phone #: (580) 249-4283
Fax #:
County: GARFIELD
License: 1623
Dated: 3/4/1999
Expires: 3/31/2009
Temp. Ltr. Issued: 1/14/1999
Temp. Ltr. Expires: 3/31/1999
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired 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:
BASS LONG TERM ACUTE CARE FACILITY
401 S THIRD ST
ENID OK 73701

Phone #: (580) 249-4283
Fax #:

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