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Oklahoma Board of Medical Licensure and Supervision

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

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CEJDA, MELISSA KAY       
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: TULSA CARES
3712 E 11TH ST
TULSA OK 74112

Address last updated on 9/3/2024
Phone #: (918) 584-4194
Fax #:
County: TULSA
License: 570
Dated: 11/1/2008
Expires: 10/31/2009
Temp. Ltr. Issued: 8/8/2008
Temp. Ltr. Expires: 11/7/2008
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
TULSA CARES
3712 E 11TH ST
TULSA OK 74112

Phone #: (918) 584-4194
Fax #:

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