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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”.

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Licensed Professional Information:
Dentist 2901012538


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Wayne

State or Province:

Michigan

ZIP or Postal Code:

48184

CS Record Number:

5315001253

CS Status:

Lapsed

CS Expiration Date:

06/30/1983

 

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48209

CS Record Number:

5315095440

CS Status:

Lapsed

CS Expiration Date:

06/30/1985

 

City:

Plymouth

State or Province:

Michigan

ZIP or Postal Code:

48170

CS Record Number:

5315150119

CS Status:

Active

CS Expiration Date:

06/24/2027

 
 

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