JACOBS, LACY RACHELL - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

JACOBS, LACY RACHELL

Practice Address:	INTEGRIS SOUTHWEST MEDICAL CENTER 4401 S WESTERN AVE OKLAHOMA CITY OK 73109 Address last updated on 7/23/2023
Phone #:	(405) 636-7000
Fax #:
County:	OKLAHOMA
License:	1791
Dated:	2/27/2018
Expires:	8/31/2018
Temp. Ltr. Issued:	2/26/2018
Temp. Ltr. Expires:	5/10/2018
License Type:	Provisional Respiratory Care
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:
INTEGRIS SOUTHWEST MEDICAL CENTER 4401 S WESTERN AVE OKLAHOMA CITY OK 73109 Phone #: (405) 636-7000 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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