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MCINNIS, MELISSA LEE       
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: GOOD SHEPHERD MEDICAL CENTER
700 EAST MARSHALL AVE.
LONGVIEW TX 75601

Address last updated on 1/8/2007
Phone #: (903) 315-1211
Fax #: (903) 315-2893
County: NOT OKLAHOMA
License: 3876
Dated: 4/26/2006
Expires: 1/31/2008
Temp. Ltr. Issued: 2/15/2006
Temp. Ltr. Expires: 5/13/2006
License Type: Physical 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:
GOOD SHEPHERD MEDICAL CENTER
700 EAST MARSHALL AVE.
LONGVIEW TX 75601

Phone #: (903) 315-1211
Fax #: (903) 315-2893

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