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Oklahoma Board of Medical Licensure and Supervision

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BRANNON, CRYSTAL DAWN       
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: BAILEY MEDICAL CENTER
10502 N 110TH E AVE
OWASSO OK 74055

Address last updated on 9/4/2023
Phone #: (918) 376-8000
Fax #:
County: TULSA
License: 1412
Dated: 5/9/2012
Expires: 5/31/2013
Temp. Ltr. Issued: 4/27/2012
Temp. Ltr. Expires: 5/17/2012
License Type: Provisional Respiratory Care
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:
BAILEY MEDICAL CENTER
10502 N 110TH E AVE
OWASSO OK 74055

Phone #: (918) 376-8000
Fax #:

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