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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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WALLACE, JEFFREY LYNN
Practice Address: 302 DANUBE AVE., APT. 4
TAMPA FL 33606-3743
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 12624
Dated: 5/8/1980
Expires: 6/30/1986
License Type: Medical Doctor
Specialty: General Surgery
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1975
CME Year:
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
302 DANUBE AVE., APT. 4
TAMPA FL 33606-3743

Phone #:
Fax #:

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