COOK, MELISSA KATHERYNE - 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

COOK, MELISSA KATHERYNE

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:	MERCY PORTLAND CLINIC INTERNAL MEDICINE PEDIATRICS 18503 N PORTLAND AVE EDMOND OK 73012 Address last updated on 12/16/2024
Phone #:	(405) 531-4271
Fax #:
County:	OKLAHOMA
License:	2340
Dated:	1/16/2014
Expires:	3/31/2025
Temp. Ltr. Issued:	12/30/2013
Temp. Ltr. Expires:	4/1/2014
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
MERCY PORTLAND CLINIC INTERNAL MEDICINE PEDIATRICS 18503 N PORTLAND AVE EDMOND OK 73012 Phone #: (405) 531-4271 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SCOTT CHRISTOPHER MELSON	MD	28660

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