LACEY, SUSAN ETTA - Licensee Information

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LACEY, SUSAN ETTA

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:	MUSKOGEE REGIONAL MED CTR 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Address last updated on 10/11/2013
Phone #:
Fax #:
County:	MUSKOGEE
License:	362
Dated:	11/2/1999
Expires:	6/30/2001
Temp. Ltr. Issued:	9/24/1999
Temp. Ltr. Expires:	11/6/1999
License Type:	Provisional Respiratory Care
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
MUSKOGEE REGIONAL MED CTR 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Phone #: Fax #:

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