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GRAHAM, DERREL DEWAYNE JR       
Practice Address: LSU HLTH SCIENCES CTR
1501 KINGS HIGHWAY
PO BOX 33932
SHREVEPORT LA 71130-3932

Address last updated on 3/14/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19708
Dated: 5/6/1996
Expires: 5/1/2002
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 1992
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LSU HLTH SCIENCES CTR
1501 KINGS HIGHWAY
PO BOX 33932
SHREVEPORT LA 71130-3932

Phone #:
Fax #:

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