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Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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STACY, JOHN LEE JR.
Practice Address: 217 CHURCH ST.
WAGONER OK 74467
Phone #:
Fax #:
County: WAGONER
License: 251
Dated: 10/5/1979
Expires: 3/31/1987
License Type: Physician Assistant
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:
217 CHURCH ST.
WAGONER OK 74467

Phone #:
Fax #:

Hospital Privileges:

None listed

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