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ZVIRBULIS, JACOB       
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: 4043 WOODLAND CR DR #200
KENTWOOD MI 49512

Address last updated on 11/15/2002
Phone #: (616) 285-2621
Fax #:
County: NOT OKLAHOMA
License: 23213
Dated: 12/11/2002
Expires: 12/1/2003
Temp. Lic. Issued: 11/14/2002
Temp. Lic. Expires: 1/30/2003
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 7 / 1962
CME Year: 2005
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 PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4043 WOODLAND CR DR #200
KENTWOOD MI 49512

Phone #: (616) 285-2621
Fax #:

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