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Oklahoma Board of Medical Licensure and Supervision

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WOLF, JEFFREY ALLAN       
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: PACIFICARE OF CALIFORNIA
5757 PLAZA DRIVE MAIL STOP CA124-0142
CYPRESS CA 90630

Address last updated on 7/15/2005
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 23842
Dated: 7/15/2005
Expires: 7/1/2007
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduated: 6 / 1972
CME Year: 2008
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 OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PACIFICARE OF CALIFORNIA
5757 PLAZA DRIVE MAIL STOP CA124-0142
CYPRESS CA 90630

Phone #:
Fax #:
Mon:
Tue:
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