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Oklahoma Board of Medical Licensure and Supervision

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SMITH, TRACY DIANE       
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: CONEMAUGH MEMORIAL
1086 FRANKLIN ST
JOHNSTOWN PA 15905

Address last updated on 6/30/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1815
Dated: 6/5/2000
Expires: 6/30/2010
Temp. Ltr. Issued: 5/25/2000
Temp. Ltr. Expires: 9/30/2000
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:
CONEMAUGH MEMORIAL
1086 FRANKLIN ST
JOHNSTOWN PA 15905

Phone #:
Fax #:

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