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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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LACY, CASSIE
Practice Address: HILLCREST SOUTH
8801 S 101ST E AVE
TULSA OK 74133

Address last updated on 4/24/2024
Phone #: (918) 630-6774
Fax #:
County: TULSA
License: 2253
Dated: 8/23/2023
Expires: 8/31/2024
Temp. Ltr. Issued: 7/27/2023
Temp. Ltr. Expires: 9/14/2023
License Type: Provisional Respiratory Care
Specialty:
Status: Active
Status Class: Fully Licensed
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:
HILLCREST SOUTH
8801 S 101ST E AVE
TULSA OK 74133

Phone #: (918) 630-6774
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JERINA KAY EDWARDS RC 4386
DIANE RENEE THOMPSON RC 763

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