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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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MELSON, DANIELLE CORLEY       
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: INTEGRIS SOUTHWEST MEDICAL CENTER
4401 S WESTERN AV
OKLAHOMA CITY OK 73109

Address last updated on 12/12/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 5051
Dated: 6/25/2015
Expires: 1/31/2025
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:
INTEGRIS SOUTHWEST MEDICAL CENTER
4401 S WESTERN AV
OKLAHOMA CITY OK 73109

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARRIE RENAE ALEXIN TA 1795
BRITTANY NICOLE ALLISON TA 2464
LAURA ASHLEY BLALOCK TA 3376
MICHAEL WAYNE BLOMSTROM TA 691
RANDI LEIGH BRANDT TA 1399
MICHAEL LOUIS BRUCE TA 2010
BRIAN BLAKE BURNS TA 2888
ANNA MARIA COSTELLO TA 3289
ALEXANDRIA GALE GOODRICH TA 2917
AUDRA LOUISE GREEN TA 2369
JONATHON HUNNER LANDRETH TA 3600
ANGELA GAYE LESTER TA 791
LINDSAY MICHELLE MAGEE TA 3637
ANGELIA KAY MASON TA 466
SHELBY LEXANNA MILLER TA 3176
LISA JEAN RATLIFF TA 122
LESLIE HEIDI ROBERTS TA 3050
ALLISON GRACE SJONG TA 1189
AUBREY KNOX STANLEY TA 2764
KENDRA MICHELLE STEINLY TA 2678
MICHELLE CASEY TISDALE TA 1292
JENNIFER KAY WILLIAMS TA 2004

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