GORDON, MONICA NICOLE - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

GORDON, MONICA NICOLE

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:	TIDELANDS HEALTH GEORGETOWN MEMORIAL 606 BLACK RIVER RD GEORGETOWN SC 29440 Address last updated on 8/1/2021
Phone #:	(843) 527-7000
Fax #:
County:	NOT OKLAHOMA
License:	4638
Dated:	8/21/2017
Expires:	8/31/2023
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:
TIDELANDS HEALTH GEORGETOWN MEMORIAL 606 BLACK RIVER RD GEORGETOWN SC 29440 Phone #: (843) 527-7000 Fax #:

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