MOORE, MELISSA LAVONNE - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

MOORE, MELISSA LAVONNE

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:	ADVANCED ORTHOPEDICS OF OKLAHOMA 3214 E 21ST TULSA OK 74114 Address last updated on 1/13/2024
Phone #:	(918) 895-7222
Fax #:	(918) 895-7223
County:	TULSA
License:	5398
Dated:	9/5/2017
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA 3214 E 21ST TULSA OK 74114 Phone #: (918) 895-7222 Fax #: (918) 895-7223

Name:	Type:	License Number:
Primary Supervisees(s):
CAILLEY QUINN BEAN	TA	3608
LEISA J. BRUNS	TA	199
TAYLOR CALDWELL	TA	2637
KARIM MARTINO CANTO	TA	3554
BAILEY LAINE CLARK	TA	2938
ASHLEY MYRIAH DUDLEY	TA	1973
STEVAN WAYNE JAMESON	TA	3765
MISTY DAWN MCMULLEN	TA	1453
ASHLEY POULIN	TA	2837
JAMIE LYNN STEIDLEY	TA	1672
EMILY ANN TROUT	TA	1442

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