PELLEY, CRYSTAL DAWN - Licensee Information

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

PELLEY, CRYSTAL DAWN

Practice Address:	MUSCOGEE NATION DEPARTMENT OF HEALTH 1800 E. COPLIN RD OKEMAH OK 74859 Address last updated on 10/13/2023
Phone #:	(918) 623-1424 x1352
Fax #:	(918) 623-3013
County:	OKFUSKEE
License:	520
Dated:	6/29/2007
Expires:	10/31/2007
Temp. Ltr. Issued:	3/22/2007
Temp. Ltr. Expires:	6/29/2007
License Type:	Provisional Dietitian
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:
MUSCOGEE NATION DEPARTMENT OF HEALTH 1800 E. COPLIN RD OKEMAH OK 74859 Phone #: (918) 623-1424 x1352 Fax #: (918) 623-3013

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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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