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Oklahoma Board of Medical Licensure and Supervision

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MIZE, DONNA JEAN       
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: TULSA REGIONAL MEDICAL CTR
744 WEST 9TH
TULSA OK 74127-9024

Address last updated on 11/7/2003
Phone #: (918) 587-2561 x5111
Fax #:
County: TULSA
License: 483
Dated: 11/16/1995
Expires: 11/30/2009
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
TULSA REGIONAL MEDICAL CTR
744 WEST 9TH
TULSA OK 74127-9024

Phone #: (918) 587-2561 x5111
Fax #:

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