BANEVICH, MELISSA JAYNE - Licensee Information

Search Results

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

BANEVICH, MELISSA JAYNE

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:	NORTHEAST OK REHAB HSP 3219 SOUTH 79TH EAST AVENUE TULSA OK 74145-1343
Phone #:
Fax #:
County:	TULSA
License:	856
Dated:	7/10/1997
Expires:	10/31/1999
Temp. Ltr. Issued:	5/8/1997
Temp. Ltr. Expires:	7/27/1997
License Type:	Occupational Therapist
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:
NORTHEAST OK REHAB HSP 3219 SOUTH 79TH EAST AVENUE TULSA OK 74145-1343 Phone #: Fax #:

Return to Search Licensees page