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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 2901017126


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Ypsilanti

State or Province:

Michigan

ZIP or Postal Code:

48197

CS Record Number:

5315127430

CS Status:

Lapsed

CS Expiration Date:

08/31/2015

 
 

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