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GRAHAM, JESS ALLEN       
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: BROOKE ARMY MEDICAL CENTER
3851 ROGER BROOKE DR
SAN ANTONIO TX 78234-6200

Address last updated on 6/4/2007
Phone #: (210) 916-2371
Fax #:
County: NOT OKLAHOMA
License: 24143
Dated: 8/18/2004
Expires: 8/1/2008
License Type: Medical Doctor
Specialty: Radiology
Nuclear Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 1990
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: AMERICAN BOARD OF NUCLEAR MEDICINE
AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BROOKE ARMY MEDICAL CENTER
3851 ROGER BROOKE DR
SAN ANTONIO TX 78234-6200

Phone #: (210) 916-2371
Fax #:

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