LEWIS, MELISSA SUE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

LEWIS, MELISSA SUE

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:	WILMA P. MANKILLER HEALTH CENTER 471688 HWY 51 STILWELL OK 74960 Address last updated on 10/17/2024
Phone #:	(918) 696-8819
Fax #:	(918) 696-8878
County:	ADAIR
License:	2145
Dated:	10/15/2019
Expires:	10/31/2025
License Type:	Occupational Therapy Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
WILMA P. MANKILLER HEALTH CENTER 471688 HWY 51 STILWELL OK 74960 Phone #: (918) 696-8819 Fax #: (918) 696-8878

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JACQUELINE SUE MANUS	OT	5310

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