LEIMENSTOLL, ALLEN JAYE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

LEIMENSTOLL, ALLEN JAYE

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:	BLACKWELL REGIONAL HOSPITAL 710 S 13TH STREET BLACKWELL OK 74631 Address last updated on 2/18/2024
Phone #:	(580) 363-2311
Fax #:
County:	KAY
License:	1350
Dated:	5/10/2004
Expires:	3/31/2025
Temp. Ltr. Issued:	2/6/2004
Temp. Ltr. Expires:	5/27/2004
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
BLACKWELL REGIONAL HOSPITAL 710 S 13TH STREET BLACKWELL OK 74631 Phone #: (580) 363-2311 Fax #:

Hospital Privileges:

INTEGRIS Bass Baptist Health Center
Enid, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JEFFREY ROBERT SHUART	MD	18498

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