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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 2901601235


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

St. Clair Shores

State or Province:

Michigan

ZIP or Postal Code:

48080

CS Record Number:

5315231163

CS Status:

Active

CS Expiration Date:

03/15/2028

DRUG CONTROL LIST

City:

St. Clair Shores

State:

Michigan

ZIP Code:

48080

DC Record Number:

5307012219

DC Status:

Active

DC Expiration Date:

03/15/2028

 
 

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