Skip Module Navigation
 
Once you are logged into your MiPLUS account, you can apply for a license, submit a request, or view existing records, by clicking on the word “Licenses”.

Message Bar

Licensed Professional Information:
Dentist 2901009390


 
Note
Disciplinary Actions last updated on: 05/03/2019.
Condition: 
Suspended Severity:  Notice
Total Conditions: 1  (Notice: 1)
 

Licensee Detail

 
SPECIALTY CERTIFICATION

Specialty Certification:

Orthodontics

Status:

Inactive

Expiration Date:

08/31/2015

CONTROLLED SUBSTANCE LIST

City:

Rochester Hills

State or Province:

Michigan

ZIP or Postal Code:

48306

CS Record Number:

5315168165

CS Status:

Lapsed

CS Expiration Date:

08/31/2015

 
 

Expand Related Records

 
 

Expand <--- Click to view Public Documents

Please wait... Loading...