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Licensed Professional Information:
Dentist 2901021256

Licensee Detail

License Type:

Dentist

License Number:

2901021256

Name:

Jake Joseph Farida

License Issue Date:

06/03/2014

License Expiration Date:

06/03/2028

License Status:

Active

County:

Oakland

CONTROLLED SUBSTANCE LIST

City:

Keego Harbor

State or Province:

Michigan

ZIP or Postal Code:

48320

CS Record Number:

5315066303

CS Status:

Active

CS Expiration Date:

06/03/2028

Related Records

Listed below are the records associated with

Dentist,

License Number:

2901021256

Record list

Showing 1-3 of 3

Date

Record Number

Record Type

06/03/2014

2901021256

Dentist License

08/08/2022

COM22-004224

Complaint

03/27/2023

COM23-002029

Complaint

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