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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GREEN, MALLORY MCKENZIE       
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: INTEGRIS BASS BAPTIST HEALTH CENTER
600 S MONROE
ENID OK 73701

Address last updated on 11/27/2023
Phone #: (580) 548-1243
Fax #:
County: GARFIELD
License: 4324
Dated: 11/5/2015
Expires: 11/30/2025
Temp. Ltr. Issued: 8/31/2015
Temp. Ltr. Expires: 11/6/2015
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:
INTEGRIS BASS BAPTIST HEALTH CENTER
600 S MONROE
ENID OK 73701

Phone #: (580) 548-1243
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHEALSEY ADRIANN ALDRICH PR 2332

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