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Licensed Professional Information:
Dentist 2901010184

Licensee Detail

License Type:

Dentist

License Number:

2901010184

Name:

Gordon B Shlom

License Issue Date:

05/15/1972

License Expiration Date:

05/15/2028

License Status:

Active

County:

Oakland

CONTROLLED SUBSTANCE LIST

City:

Waterford

State or Province:

Michigan

ZIP or Postal Code:

48328

CS Record Number:

5315162965

CS Status:

Active

CS Expiration Date:

05/15/2028

Related Records

Listed below are the records associated with

Dentist,

License Number:

2901010184

Record list

Showing 1-3 of 3

Date

Record Number

Record Type

05/15/1972

2901010184

Dentist License

09/02/2021

COM21-003940

Complaint

10/26/2021

29-21-002833

Enforcement

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