LEIMENSTOLL, ALLEN JAYE - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

LEIMENSTOLL, ALLEN JAYE

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:

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