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|
CROCKETT, MELISSA MYERS |
| Practice Address: |
ST. MARY'S REGIONAL MEDICAL CENTER
305 S. 5TH ST.
ENID OK 73701
Address last updated on 12/10/2015 |
| Phone #: |
(580) 233-6100 |
| Fax #: |
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| County: |
GARFIELD |
| License: |
4215 |
| Dated: |
2/25/2015 |
| Expires: |
2/28/2017 |
|
Temp.
Ltr.
Issued:
|
12/2/2014 |
|
Temp.
Ltr.
Expires:
|
3/13/2015 |
| License Type: |
Respiratory Care Practitioner |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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