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STALLWORTH, ALESHIA DEANN       
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: JACKSON COUNTY MEMRORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521

Address last updated on 5/16/2008
Phone #: (580) 481-2377
Fax #:
County: JACKSON
License: 3069
Dated: 5/15/2008
Expires: 5/31/2010
Temp. Ltr. Issued: 3/28/2008
Temp. Ltr. Expires: 5/16/2008
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
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:
JACKSON COUNTY MEMRORIAL HOSPITAL
1200 E PECAN
ALTUS OK 73521

Phone #: (580) 481-2377
Fax #:

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