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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT
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|
ALLEN, LACEY RAYE |
| Practice Address: |
625 W SOUTH ST.
NEWKIRK OK 74647
Address last updated on 8/29/2023 |
| Phone #: |
(580) 362-6241 x125 |
| Fax #: |
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| County: |
KAY |
| License: |
1021 |
| Dated: |
9/7/2017 |
| Expires: |
8/31/2024 |
|
Temp.
Ltr.
Issued:
|
8/25/2017 |
|
Temp.
Ltr.
Expires:
|
9/14/2017 |
| License Type: |
Athletic Trainer |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
BRADFORD LEE BOONE
|
MD |
17634 |
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