GREENE, MICHELLE SUZANNE - 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

GREENE, MICHELLE SUZANNE

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:	IGNITE MEDICAL RESORTS ADAMS PARC 6006 ADAMS RD BARTLESVILLE OK 74006 Address last updated on 8/19/2024
Phone #:
Fax #:
County:	WASHINGTON
License:	2790
Dated:	7/31/1998
Expires:	1/31/2025
Temp. Ltr. Issued:	10/23/2008
Temp. Ltr. Expires:	11/7/2008
License Type:	Physical 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:
IGNITE MEDICAL RESORTS ADAMS PARC 6006 ADAMS RD BARTLESVILLE OK 74006 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MARK ALLEN ANTHONY	TA	325
LACY DAWN BELLAR	TA	1436
MELISSA CLAIRE HARVEY	TA	2269
CARIGON OLIVIA KEPNER	TA	3780
BRANDY D LAZARINE	TA	3752
HEATHER NOELLE PITTSER	TA	881
CHERYL DAWN ROUND	TA	2456
HEATHER LYNN SULLIVAN	TA	1534
CHRISTOPHER KYLE VAUGHN	TA	2060
KAY L. WITTE	TA	422

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