DEMISSIE, MYRA MARTHA - Licensee Information

Search Results

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

DEMISSIE, MYRA MARTHA

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:	2401 NW 23RD ST. STE 1C OKLAHOMA CITY OK 73107242 Address last updated on 9/12/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	5664
Dated:	4/27/2022
Expires:	10/31/2025
License Type:	Occupational Therapist
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:
2401 NW 23RD ST. STE 1C OKLAHOMA CITY OK 73107242 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MADISON LEIGH WEIGANDT	OA	2689
LEAH ELIZABETH MARIA WELCH	OA	1122

Return to Search Licensees page