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Oklahoma Board of Medical Licensure and Supervision

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BELLEW, LOGAN WILLIAM
Practice Address: No Current Practice Address
OK

Address last updated on 6/26/2014
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1484
Dated: 11/22/2013
Expires: 11/30/2014
Temp. Ltr. Issued: 7/8/2013
Temp. Ltr. Expires: 9/13/2013
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to: Written Agreement
CME Year: 0
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/15/2015 Surrendered License
Board Filings and/or Orders:
01/15/2015
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
No Current Practice Address
OK

Phone #:
Fax #:

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