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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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CLARK, CORNELL MAURICE       
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: 5700 NYTON DR
LAS VEGAS NV 89108

Address last updated on 9/12/2017
Phone #: (702) 592-0083
Fax #: (702) 636-2104
County: NOT OKLAHOMA
License: 26640
Dated: 11/6/2008
Expires: 11/1/2012
Temp. Lic. Issued: 8/8/2008
Temp. Lic. Expires: 11/6/2008
License Type: Medical Doctor
Specialty: Family Medicine
GERIATRICS
Medical Management
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduated: 5 / 1981
CME Year: 2014
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: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5700 NYTON DR
LAS VEGAS NV 89108

Phone #: (702) 592-0083
Fax #: (702) 636-2104
Mon: 9:00AM - 6:00PM APPOINTMENT ONLY
Tue: 9:00AM - 6:00PM APPOINTMENT ONLY
Wed: 9:00AM - 6:00PM APPOINTMENT ONLY
Thu: 9:00AM - 6:00PM APPOINTMENT ONLY
Fri: APPOINTMENT ONLY
Sat:
Sun:
Lawton Corretional Facility
8607 Flower Mound Rd.
Lawton, OK 73501

Phone #: (580) 351-3778
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: Here until Jan. 27 2012
Spanish

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