Skip Module Navigation
 

Message Bar

Licensed Professional Information:
Dentist 2901021034


 
Note
Disciplinary Actions last updated on: 10/19/2020.
Condition: 
Suspended Severity:  Notice
Total Conditions: 6  (Notice: 6)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Grandville

State or Province:

Michigan

ZIP or Postal Code:

49418

CS Record Number:

5315061530

CS Status:

Active

CS Expiration Date:

06/20/2024

 
 

Expand Related Records

 
 

Expand <--- Click to view Public Documents

Please wait... Loading...