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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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MOORE, BRADLY DEWAYNE       
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: COUNCIL OAK COMPREHENSIVE HEALTH CARE
10109 E 79TH ST TULSA OK 74133
TULSA OK 74133

Address last updated on 8/1/2023
Phone #: (918) 233-9550
Fax #: (918) 233-9550
County: TULSA
License: 1279
Dated: 5/20/2010
Expires: 5/31/2011
Temp. Ltr. Issued: 5/7/2010
Temp. Ltr. Expires: 5/20/2010
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
COUNCIL OAK COMPREHENSIVE HEALTH CARE
10109 E 79TH ST TULSA OK 74133
TULSA OK 74133

Phone #: (918) 233-9550
Fax #: (918) 233-9550

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