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Licensed Professional Information:
Dentist 2901014894


 
Note
Disciplinary Actions last updated on: 04/23/2024.
Condition: 
Probation Severity:  Notice
Total Conditions: 4  (Notice: 4)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Westland

State or Province:

Michigan

ZIP or Postal Code:

48185

CS Record Number:

5315126955

CS Status:

Lapsed

CS Expiration Date:

08/31/2015

 

City:

Westland

State or Province:

Michigan

ZIP or Postal Code:

48185

CS Record Number:

5315086270

CS Status:

Active

CS Expiration Date:

09/29/2024

 
 

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