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COCHRAN, BRADLEY MARK       
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: DEKALB RADIOLOGY
FORT PAYNE AL 35968

Address last updated on 1/31/2010
Phone #: (256) 997-2189
Fax #:
County: NOT OKLAHOMA
License: 20544
Dated: 2/19/1998
Expires: 2/1/2010
Training Issued: 7/1/1996
Training Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduated: 6 / 1996
CME Year: 2010
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DEKALB RADIOLOGY
FORT PAYNE AL 35968

Phone #: (256) 997-2189
Fax #:

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