DAVIS, MELISSA JEAN - Licensee Information

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DAVIS, MELISSA JEAN

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:	JANE PHILLIPS MEDICAL CENTER 3500 E.FRANK PHILLIPS BLVD BARTLESVILLE OK 74003 Address last updated on 12/23/1999
Phone #:
Fax #:
County:	WASHINGTON
License:	640
Dated:	1/12/1991
Expires:	10/31/1991
License Type:	Licensed Dietitian
Specialty:

Status:	Inactive
Status Class:	Expired License
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:
JANE PHILLIPS MEDICAL CENTER 3500 E.FRANK PHILLIPS BLVD BARTLESVILLE OK 74003 Phone #: Fax #:

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