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Oklahoma Board of Medical Licensure and Supervision

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HANES, MELISSA ANN       
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: MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA
1800 UNIVERSITY BLVD
DURANT OK 74701

Address last updated on 9/23/2013
Phone #: (580) 924-3080 x1655
Fax #:
County: BRYAN
License: 1959
Dated: 11/1/2013
Expires: 10/31/2014
Temp. Ltr. Issued: 9/23/2013
Temp. Ltr. Expires: 11/7/2013
License Type: Licensed 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:
MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA
1800 UNIVERSITY BLVD
DURANT OK 74701

Phone #: (580) 924-3080 x1655
Fax #:

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