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Oklahoma Board of Medical Licensure and Supervision

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NESBITT, PETRINA NICOLE       
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: 1900 S GORDON COOPER DR
SHAWNEE OK 74801

Address last updated on 6/2/2019
Phone #:
Fax #:
County: POTTAWATOMIE
License: 1809
Dated: 6/5/2000
Expires: 10/24/2019
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Deceased
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
4/25/2016 Complaint Citation
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
01/16/2020
10/24/2019
12/13/2018
08/22/2017
07/21/2017
05/19/2017
02/28/2017
06/01/2016
04/21/2016
04/21/2016
03/11/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
1900 S GORDON COOPER DR
SHAWNEE OK 74801

Phone #:
Fax #:

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