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Licensed Professional Information:
Medical Doctor 4301073023


 
Note
Disciplinary Actions last updated on: 01/14/2026.
Condition: 
 Summary Suspension Severity:  Notice
Total Conditions: 2  (Notice: 2)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48235

CS Record Number:

5315117913

CS Status:

Null & Void

CS Expiration Date:

06/30/2001

 

City:

West Bloomfield

State or Province:

Michigan

ZIP or Postal Code:

48323

CS Record Number:

5315005194

CS Status:

Suspended

CS Expiration Date:

03/14/2029

 
 

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