BOSTROM, JAKE PAUL - Licensee Information

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

BOSTROM, JAKE PAUL

Practice Address:	SOUTHERN EYE ASSOCIATES 104 SIMPSON ST GREENVILLE SC 29605 Address last updated on 7/13/2010
Phone #:	(864) 269-3333
Fax #:
County:	NOT OKLAHOMA
License:	24456
Dated:	9/21/2006
Expires:	9/1/2011
License Type:	Medical Doctor
Specialty:	Ophthalmology

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163
Graduated:	5 / 2005
CME Year:	2012

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:
SOUTHERN EYE ASSOCIATES 104 SIMPSON ST GREENVILLE SC 29605 Phone #: (864) 269-3333 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun: