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COOPER, KEVIN LEE
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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: |
2351 EAST 22ND STREET
DEPT OF PATHOLOGY
CLEVELAND OH 44115
Address last updated on 3/16/2019 |
Phone #: |
(216) 861-6200 x2678 |
Fax #: |
(216) 363-2757 |
County: |
NOT OKLAHOMA |
License: |
28148 |
Dated: |
5/17/2011 |
Expires: |
1/30/2021 |
License Type: |
Medical Doctor |
Specialty: |
Anatomic/Clinical Pathology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210 |
Graduated: |
6 /
1984 |
CME Year: |
2020 |
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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: |
AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical) |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
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