BANEVICH, MELISSA JAYNE - Licensee Information

Search Results

Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

BANEVICH, MELISSA JAYNE

Practice Address:	NORTHEAST OK REHAB HSP 3219 SOUTH 79TH EAST AVENUE TULSA OK 74145-1343
Phone #:
Fax #:
County:	TULSA
License:	856
Dated:	7/10/1997
Expires:	10/31/1999
Temp. Ltr. Issued:	5/8/1997
Temp. Ltr. Expires:	7/27/1997
License Type:	Occupational 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:
NORTHEAST OK REHAB HSP 3219 SOUTH 79TH EAST AVENUE TULSA OK 74145-1343 Phone #: Fax #:

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
Contact Info