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GILLIGAN, MARISSA AMERIA       
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: JACKSON COUNTY MEMORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521

Address last updated on 11/4/2010
Phone #: (580) 379-5243
Fax #:
County: JACKSON
License: 3477
Dated: 11/4/2010
Expires: 11/30/2012
Temp. Ltr. Issued: 9/10/2010
Temp. Ltr. Expires: 11/4/2010
License Type: Respiratory Care Practitioner
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:
JACKSON COUNTY MEMORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521

Phone #: (580) 379-5243
Fax #:

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