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JAYNE, RUSSELL PATRICK       
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: RETINA CONSULTANTS OF NV
3006 S MARYLAND PKWY #710
LAS VEGAS NV 89109

Address last updated on 7/12/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18579
Dated: 7/1/1993
Expires: 7/1/2002
Training Issued: 7/2/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Other Specialty
Ophthalmology
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: 5 / 1992
CME Year: 2003
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 OPHTHALMOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RETINA CONSULTANTS OF NV
3006 S MARYLAND PKWY #710
LAS VEGAS NV 89109

Phone #:
Fax #:

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