Skip Module Navigation
 
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”.

Message Bar

Licensed Professional Information:
Medical Doctor 4301071818


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Grand Rapids

State or Province:

Michigan

ZIP or Postal Code:

49503

CS Record Number:

5315123582

CS Status:

Lapsed

CS Expiration Date:

06/30/2002

 

City:

Troy

State or Province:

Michigan

ZIP or Postal Code:

48084

CS Record Number:

5315011878

CS Status:

Active

CS Expiration Date:

08/21/2027

 
 

Expand Related Records

 
 

Expand <--- Click to view Public Documents

Please wait... Loading...