Search Results
Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST
Return to Search Licensees page
|
ALLEN, LACEY RAYE
|
| Practice Address: |
701 W SOUTH ST.
NEWKIRK OK 74647
Address last updated on 8/19/2024 |
| Phone #: |
(580) 362-6241 x125 |
| Fax #: |
(580) 362-6242 |
| County: |
KAY |
| License: |
1021 |
| Dated: |
9/7/2017 |
| Expires: |
8/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/25/2017 |
|
Temp.
Ltr.
Expires:
|
9/14/2017 |
| License Type: |
Athletic Trainer |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| 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.
|
|
|
|
Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
BRADFORD LEE BOONE
|
MD |
17634 |
|
|
Return to Search Licensees page
