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Licensed Professional Information:
Dentist 2901011908


 
Note
Disciplinary Actions last updated on: 05/03/2019.
Condition: 
 Probation Severity:  Notice
Total Conditions: 2  (Notice: 2)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48224

CS Record Number:

5315003437

CS Status:

Lapsed

CS Expiration Date:

08/31/1990

 

City:

Tawas City

State or Province:

Michigan

ZIP or Postal Code:

48763

CS Record Number:

5315170895

CS Status:

Active

CS Expiration Date:

05/30/2027

 

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48226

CS Record Number:

5315001035

CS Status:

Lapsed

CS Expiration Date:

06/30/1983

 
 

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