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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 13, 2018 3:18 AM CST
Next Update: Tuesday, November 13, 2018 12:00 PM CST

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ELLIS, ANN PEYTON
Practice Address: NORTHEASTERN STATE UNIVERSITY
600 N GRAND AVE
TAHLEQUAH OK 74464

Address last updated on 7/26/2017
Phone #: (918) 456-5511
Fax #:
County: CHEROKEE
License: 940
Dated: 4/12/2017
Expires: 8/31/2018
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
NORTHEASTERN STATE UNIVERSITY
600 N GRAND AVE
TAHLEQUAH OK 74464

Phone #: (918) 456-5511
Fax #:

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