JONES, LACEY MICHELLE - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

JONES, LACEY MICHELLE

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:	NORTHWESTERN OKLAHOMA STATE UNIVERSITY 709 OKLAHOMA BLVD ALVA OK 73717 Address last updated on 8/17/2024
Phone #:	(580) 327-8137
Fax #:
County:	WOODS
License:	947
Dated:	9/15/2016
Expires:	8/31/2025
Temp. Ltr. Issued:	8/17/2023
Temp. Ltr. Expires:	3/7/2024
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.

Locations:	Hours:	Languages:
NORTHWESTERN OKLAHOMA STATE UNIVERSITY 709 OKLAHOMA BLVD ALVA OK 73717 Phone #: (580) 327-8137 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
STEVEN PAUL BRANTLEY	MD	28487

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