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LANDIS, DANIELLE       
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: JACK C. MONTGOMERY VA HOSPITAL
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Address last updated on 8/17/2023
Phone #: (918) 577-3000
Fax #:
County: MUSKOGEE
License: 4291
Dated: 8/20/2015
Expires: 8/31/2025
Temp. Ltr. Issued: 6/8/2015
Temp. Ltr. Expires: 9/25/2015
License Type: Respiratory Care Practitioner
Specialty:
Status: Active
Status Class: Fully Licensed
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:
JACK C. MONTGOMERY VA HOSPITAL
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Phone #: (918) 577-3000
Fax #:

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