WIPFLI, JEFFREY ALAN - Licensee Information

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WIPFLI, JEFFREY ALAN

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:	ST. LUKES CATARACT AND LASER INSTITUTE 13303 NORTH DALE MABRY HIGHWAY TAMPA FL 33618-2409 Address last updated on 7/15/2014
Phone #:	(813) 384-3838
Fax #:	(813) 384-3839
County:	NOT OKLAHOMA
License:	21556
Dated:	6/1/2000
Expires:	6/1/2015
License Type:	Medical Doctor
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:	6 / 1996
CME Year:	2015

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:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna PPO BlueChoice PPO HealthChoice Preferred Community Choice
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
ST. LUKES CATARACT AND LASER INSTITUTE 13303 NORTH DALE MABRY HIGHWAY TAMPA FL 33618-2409 Phone #: (813) 384-3838 Fax #: (813) 384-3839	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

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