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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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RANDOLPH, BRUCE WENDELL       
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: SHELBY COUNTY HEALTH DEPARTMENT
814 JEFFERSON AVENUE
MEMPHIS TN 38105

Address last updated on 6/30/2019
Phone #: (901) 222-9078
Fax #: (901) 483-3116
County: NOT OKLAHOMA
License: 16897
Dated: 7/1/1989
Expires: 7/1/2021
License Type: Medical Doctor
Specialty: Public Health and General Preventive Medicine
Occupational Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF FL COLL OF MED, GAINESVILLE FL 32610
Graduated: 6 / 1984
CME Year: 2021
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 PREVENTIVE MEDICINE (Occupational Medicine)
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SHELBY COUNTY HEALTH DEPARTMENT
814 JEFFERSON AVENUE
MEMPHIS TN 38105

Phone #: (901) 222-9078
Fax #: (901) 483-3116
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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