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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Wednesday, December 25, 2024 2:50 AM CST

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TIEDEN, TAE UN       
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: BASS MEMORIAL BAPT. HOSPITAL
600 S. MONROE
ENID OK 73702

Address last updated on 11/6/2019
Phone #: (580) 249-4321
Fax #:
County: GARFIELD
License: 654
Dated: 11/28/1995
Expires: 11/30/2021
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:
BASS MEMORIAL BAPT. HOSPITAL
600 S. MONROE
ENID OK 73702

Phone #: (580) 249-4321
Fax #:

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