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Oklahoma Board of Medical Licensure and Supervision

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SPURLOCK, AMANDA DAWN       
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: ST. MARY'S REGIONAL MEDICAL CENTER
305 SOUTH 5TH
ENID OK 73701

Address last updated on 10/26/2012
Phone #: (580) 249-3070
Fax #:
County: GARFIELD
License: 3846
Dated: 11/8/2012
Expires: 11/30/2014
Temp. Ltr. Issued: 10/26/2012
Temp. Ltr. Expires: 11/8/2012
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:
ST. MARY'S REGIONAL MEDICAL CENTER
305 SOUTH 5TH
ENID OK 73701

Phone #: (580) 249-3070
Fax #:

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