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Licensed Professional Information:
Osteopathic Physician 5101014415


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Pontiac

State or Province:

Michigan

ZIP or Postal Code:

48341

CS Record Number:

5315194227

CS Status:

Active

CS Expiration Date:

12/31/2020

 

City:

Farmington Hills

CS Record Number:

5315214746

CS Status:

Active

CS Expiration Date:

12/31/2020

 

City:

Monroe

State or Province:

Michigan

ZIP or Postal Code:

48161

CS Record Number:

5315214777

CS Status:

Active

CS Expiration Date:

12/31/2020

DRUG TREATMENT PROGRAM PRESCR.

Drug Treatment Program Name:

Advanced Rapid Detox

City:

West Bloomfield

State:

Michigan

ZIP Code:

48322

DTPP Record Number:

5304731883

DTPP Status:

Active

DTPP Expiration Date:

12/31/2020

 

Drug Treatment Program Name:

Pontiac General Hospital

City:

Pontiac

State:

Michigan

ZIP Code:

48341

DTPP Record Number:

5304731884

DTPP Status:

Active

DTPP Expiration Date:

12/31/2020

 

Drug Treatment Program Name:

Advanced Treatment Center

City:

Farmington Hills

State:

Michigan

ZIP Code:

48336

DTPP Record Number:

5304731943

DTPP Status:

Active

DTPP Expiration Date:

12/31/2020

 
 

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