MOORE, BRADLY DEWAYNE - Licensee Information

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Last Update: Thursday, April 18, 2024 2:11 PM CDT
Next Update: Thursday, April 18, 2024 4:30 PM CDT

MOORE, BRADLY DEWAYNE

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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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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