MAMMEDATY, CHRISTOPHER DANE - Licensee Information

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MAMMEDATY, CHRISTOPHER DANE

Practice Address:	OKLAHOMA STATE UNIVERSITY ATHLETIC TRAINING 103 GALLAGHER-IBA ARENA STILLWATER OK 74078 Address last updated on 9/9/2006
Phone #:	(405) 744-6465
Fax #:
County:	PAYNE
License:	380
Dated:	9/22/2005
Expires:	8/31/2007
Temp. Ltr. Issued:	5/18/2005
Temp. Ltr. Expires:	9/24/2005
License Type:	Apprentice Athletic Trainer
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:
OKLAHOMA STATE UNIVERSITY ATHLETIC TRAINING 103 GALLAGHER-IBA ARENA STILLWATER OK 74078 Phone #: (405) 744-6465 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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