SHELTON, KELLI MARIE - Licensee Information

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SHELTON, KELLI MARIE

Practice Address:	CHOCTAW NATION INDIAN HEALTH CLINIC 902 EAST LINCOLN ROAD IDABEL OK 74745 Address last updated on 11/4/2005
Phone #:	(877) 791-2600 x1071
Fax #:	(580) 286-1087
County:	MCCURTAIN
License:	482
Dated:	11/3/2005
Expires:	10/31/2006
Temp. Ltr. Issued:	9/22/2005
Temp. Ltr. Expires:	11/5/2005
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:
CHOCTAW NATION INDIAN HEALTH CLINIC 902 EAST LINCOLN ROAD IDABEL OK 74745 Phone #: (877) 791-2600 x1071 Fax #: (580) 286-1087

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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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