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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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ELY, ROBBIE LYNN       
Practice Address: ACTIVE LIFESTYLE MEDICAL LLC
5455 S MINGO RD, STE E
TULSA OK 74146

Address last updated on 1/6/2023
Phone #: (918) 576-6765
Fax #:
County: TULSA
License: 138
Dated: 2/1/2013
Expires: 1/31/2025
License Type: Licensed Pedorthist
Specialty:
Status: Active
Status Class: Fully Licensed
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:
ACTIVE LIFESTYLE MEDICAL LLC
5455 S MINGO RD, STE E
TULSA OK 74146

Phone #: (918) 576-6765
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELLY DAWN WATKINS LPED 169

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