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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:
Medical Doctor 4301107258


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Livonia

State or Province:

Michigan

ZIP or Postal Code:

48154

CS Record Number:

5315070055

CS Status:

Lapsed

CS Expiration Date:

06/30/2018

 

City:

Northville

State or Province:

Michigan

ZIP or Postal Code:

48168

CS Record Number:

5315092616

CS Status:

Lapsed

CS Expiration Date:

05/22/2025

 
 

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