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Licensed Professional Information:
Dentist 2901012342

Licensee Detail

License Type:

Dentist

License Number:

2901012342

Name:

Gloria J Smith

License Issue Date:

09/07/1979

License Expiration Date:

09/07/2028

License Status:

Active

County:

Washtenaw

CONTROLLED SUBSTANCE LIST

City:

Ann Arbor

State or Province:

Michigan

ZIP or Postal Code:

48103

CS Record Number:

5315180370

CS Status:

Active

CS Expiration Date:

09/07/2028

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48226

CS Record Number:

5315002124

CS Status:

Lapsed

CS Expiration Date:

06/30/1983

Related Records

Listed below are the records associated with

Dentist,

License Number:

2901012342

Record list

Showing 1-3 of 3

Date

Record Number

Record Type

01/24/2019

COMXX-154410

Complaint

09/07/1979

2901012342

Dentist License

07/05/2019

COM19-001637

Complaint

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