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JABEZ, JEGAN
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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.
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Practice Address: |
8734 VALLEYVIEW DRIVE
BERRIEN SPRINGS MI 49103
Address last updated on 8/24/2000 |
Phone #: |
(269) 926-8535 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
19201 |
Dated: |
9/29/1994 |
Expires: |
9/1/2005 |
Training
Issued:
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4/20/1989 |
Training
Expires:
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9/30/1990 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Tech De Santiago (Utesa), Esc De Med, Santo Domingo |
Graduated: |
2 /
1985 |
CME Year: |
2006 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
7/29/2004 |
Public Letter of Concern |
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Board Filings and/or Orders:
07/29/2004
05/28/2004
05/28/2004
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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