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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

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SMITH, LESLEY JEANINE       
Practice Address: 921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 3/24/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 825
Dated: 4/1/1997
Expires: 3/31/2025
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:
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:

Hospital Privileges:

Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Hospital Not Listed
,

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WALTER MARK BOOMER MD 17300
BRADLEY DUANE LOWERY MD 16960
DARREN ALAN THOMAS MD 22449

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