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Licensed Professional Information:
Osteopathic Physician 5101014041


 
Note
Disciplinary Actions last updated on: 10/15/2024.
Condition: 
Probation Severity:  Notice
Total Conditions: 2  (Notice: 2)
 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Munising

State or Province:

Michigan

ZIP or Postal Code:

49862

CS Record Number:

5315070049

CS Status:

Lapsed

CS Expiration Date:

06/30/2025

 

City:

Munising

State or Province:

Michigan

ZIP or Postal Code:

49862

CS Record Number:

5315097071

CS Status:

Lapsed

CS Expiration Date:

12/31/2015

DRUG CONTROL LIST

City:

Marquette

State:

Michigan

ZIP Code:

49855

DC Record Number:

5307009694

DC Status:

Active

DC Expiration Date:

06/30/2028

 

City:

Marquette

State:

Michigan

ZIP Code:

49855

DC Record Number:

5307009695

DC Status:

Active

DC Expiration Date:

06/30/2028

 
 

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