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Oklahoma Board of Medical Licensure and Supervision

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ROBERTSON, MELVIN RAY       
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: MERCY ARDMORE HOSPITAL
SENIOR BEHAVIORAL HEALTH
1011 14TH AVE. N.W.
ARDMORE OK 43401

Address last updated on 10/9/2018
Phone #: (580) 220-6190
Fax #:
County: CARTER
License: 48
Dated: 11/5/2010
Expires: 1/30/2021
License Type: Therapeutic Recreation Specialist
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:
MERCY ARDMORE HOSPITAL
SENIOR BEHAVIORAL HEALTH
1011 14TH AVE. N.W.
ARDMORE OK 43401

Phone #: (580) 220-6190
Fax #:

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