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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:
Osteopathic Physician 5101014742


 

Licensee Detail

 
CONTROLLED SUBSTANCE LIST

City:

Detroit

State or Province:

Michigan

ZIP or Postal Code:

48214

CS Record Number:

5315118979

CS Status:

Null & Void

CS Expiration Date:

06/30/2002

 

City:

Dearborn Heights

State or Province:

Michigan

ZIP or Postal Code:

48127

CS Record Number:

5315008750

CS Status:

Active

CS Expiration Date:

02/07/2027

DRUG CONTROL LIST

City:

Dearborn Heights

State:

Michigan

ZIP Code:

48127

DC Record Number:

5307004319

DC Status:

Lapsed

DC Expiration Date:

12/31/2014

 
 

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