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Next Update: Thursday, December 19, 2024 12:00 PM CST
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CORMACK, ALVIN PETE
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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.
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| Practice Address: |
Not Currently Practicing
CLARKSTON WA 99403-2247
Address last updated on 7/20/2005 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
13672 |
| Dated: |
5/20/1982 |
| Expires: |
11/8/2001 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice
Emergency Medicine |
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| Status: |
Inactive |
| Status Class: |
Disciplinary Action |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
G WASHINGTON UNIV SCH MED & HLTH SCI, WASHINGTON DC 20037 |
| Graduated: |
6 /
1967 |
| CME Year: |
2004 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/8/2001 |
Suspension, License |
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Board Filings and/or Orders:
11/08/2001
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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