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MELVIN, JUDITH ANN
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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.
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| Practice Address: |
NORTHEASTERN STATE UNIVERSITY
PO BOX 549
MUSKOGEE OK 74401-2275
Address last updated on 10/31/2018 |
| Phone #: |
(918) 444-5232 |
| Fax #: |
(918) 781-5411 |
| County: |
MUSKOGEE |
| License: |
1796 |
| Dated: |
11/8/2012 |
| Expires: |
10/31/2019 |
| License Type: |
Occupational Therapist |
| Specialty: |
Occupational Therapy Education (OT/OA only)
Mental Health (OT/OA only) |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
2020 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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