VAVRICKA, MELISSA GAYLE - Licensee Information

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

VAVRICKA, MELISSA GAYLE

Practice Address:	CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER BLVD ADA OK 74820-4657 Address last updated on 10/3/2023
Phone #:	(580) 272-2555
Fax #:
County:	PONTOTOC
License:	339
Dated:	11/1/2000
Expires:	10/31/2001
Temp. Ltr. Issued:	7/13/2000
Temp. Ltr. Expires:	11/4/2000
License Type:	Provisional Dietitian
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:
CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER BLVD ADA OK 74820-4657 Phone #: (580) 272-2555 Fax #:

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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
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