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Oklahoma Board of Medical Licensure and Supervision

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MCCLAIN, MACK IRA       
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: 209 WEST 27TH
LUMBERTON NC 28358

Address last updated on 5/17/2002
Phone #: (910) 738-8222
Fax #:
County: NOT OKLAHOMA
License: 7937
Dated: 6/13/1962
Expires: 6/1/2004
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1962
CME Year: 2004
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 RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
209 WEST 27TH
LUMBERTON NC 28358

Phone #: (910) 738-8222
Fax #:
Mon: 7:30AM - 5:30PM
Tue: 7:30AM - 5:30PM
Wed: 7:30AM - 5:30PM
Thu: 7:30AM - 5:30PM
Fri: 7:30AM - 5:15PM

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