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Oklahoma Board of Medical Licensure and Supervision

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MORTON, CHANNA LEE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NORTHEASTERN TRIBAL HEALTH SYSTEM
7600 SOUTH HIGHWAY 69A
MIAMI OK 74354-1016

Address last updated on 10/3/2022
Phone #: (918) 332-4352
Fax #:
County: OTTAWA
License: 871
Dated: 3/8/1996
Expires: 10/31/2025
Temp. Ltr. Issued: 1/25/1996
Temp. Ltr. Expires: 3/23/1996
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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:
NORTHEASTERN TRIBAL HEALTH SYSTEM
7600 SOUTH HIGHWAY 69A
MIAMI OK 74354-1016

Phone #: (918) 332-4352
Fax #:

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