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NOTE: If you would like to Renew your license follow these instructions:

•        You must use a desktop or laptop computer to complete the registration and renewal process.

•        Login to MiPLUS.

•        Click on the “Licenses” tab.

•        Find your License Number under the “Record Number” column. Click on the “Renew License” link located under the “Action” column.

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Licensed Professional Information:
Medical Doctor 4301050438


 
Note
Disciplinary Actions last updated on: 05/03/2019.
Condition: 
Fine Imposed Severity:  Notice
Total Conditions: 1  (Notice: 1)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Ann Arbor

State or Province:

Michigan

ZIP or Postal Code:

48108

CS Record Number:

5315145493

CS Status:

Active

CS Expiration Date:

09/02/2023

 
 

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