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CLARK, CORNELL MAURICE
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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: |
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:
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8/8/2008 |
Temp.
Lic.
Expires:
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11/6/2008 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine
GERIATRICS
Medical Management |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261 |
Graduated: |
5 /
1981 |
CME Year: |
2014 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
Yes |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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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: |
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Lawton Corretional Facility
8607 Flower Mound Rd.
Lawton, OK 73501
Phone #:
(580) 351-3778
Fax #:
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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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