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Oklahoma Board of Medical Licensure and Supervision

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COCHRAN, JERRY LEE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 10 DESTA DRIVE
SUITE 100E
MIDLAND TX 79705

Address last updated on 4/10/2014
Phone #: (432) 686-0321
Fax #: (432) 686-0664
County: NOT OKLAHOMA
License: 10278
Dated: 6/30/1974
Expires: 7/10/2014
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1973
CME Year: 2016
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.
Certifications: AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
10 DESTA DRIVE
SUITE 100E
MIDLAND TX 79705

Phone #: (432) 686-0321
Fax #: (432) 686-0664
Spanish

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