LACEY, SUSAN ETTA - Licensee Information

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LACEY, SUSAN ETTA

Practice Address:	MUSKOGEE REGIONAL MEDICAL CENTER 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Address last updated on 10/11/2013
Phone #:	(918) 682-5501
Fax #:
County:	MUSKOGEE
License:	2037
Dated:	9/27/2001
Expires:	9/30/2015
Temp. Ltr. Issued:	7/11/2001
Temp. Ltr. Expires:	9/29/2001
License Type:	Respiratory Care Practitioner
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 MEDICAL CENTER 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 Phone #: (918) 682-5501 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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